Healthcare Provider Details

I. General information

NPI: 1285527101
Provider Name (Legal Business Name): MRS. DELILAH KATHRYN SNOOK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 WOODWARD AVE
LOCK HAVEN PA
17745-1623
US

IV. Provider business mailing address

70 WOODWARD AVE
LOCK HAVEN PA
17745-1623
US

V. Phone/Fax

Practice location:
  • Phone: 570-435-8180
  • Fax:
Mailing address:
  • Phone: 570-435-8180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBH0000010
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: