Healthcare Provider Details

I. General information

NPI: 1992326276
Provider Name (Legal Business Name): MICHELLE LYNN SNAPP LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 04/28/2020
Certification Date: 04/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 OLD LINCOLN HWY APT 33
LANGHORNE PA
19047-3150
US

IV. Provider business mailing address

1801 OLD LINCOLN HWY APT 33
LANGHORNE PA
19047-3150
US

V. Phone/Fax

Practice location:
  • Phone: 570-801-3446
  • Fax:
Mailing address:
  • Phone: 570-801-3446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF001157
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: