Healthcare Provider Details

I. General information

NPI: 1285641944
Provider Name (Legal Business Name): JANET B SNYDER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2061 FAIRVIEW AVE 2ND FLOOR
EASTON PA
18042-3953
US

IV. Provider business mailing address

511 REEDER ST
EASTON PA
18042-1733
US

V. Phone/Fax

Practice location:
  • Phone: 610-438-2240
  • Fax: 610-923-5188
Mailing address:
  • Phone: 610-438-2240
  • Fax: 610-923-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS009133L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: