Healthcare Provider Details

I. General information

NPI: 1073952255
Provider Name (Legal Business Name): LINDA L SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E CHESTNUT AVE
ALTOONA PA
16601-5215
US

IV. Provider business mailing address

201 CHESTNUT AVE
ALTOONA PA
16601-4927
US

V. Phone/Fax

Practice location:
  • Phone: 814-943-0414
  • Fax: 814-943-6198
Mailing address:
  • Phone: 814-946-5411
  • Fax: 814-940-8471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: