Healthcare Provider Details

I. General information

NPI: 1801679295
Provider Name (Legal Business Name): JESSICA MAE SNYDER MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2858 OLD FREEPORT RD
NATRONA HEIGHTS PA
15065-1900
US

IV. Provider business mailing address

2858 OLD FREEPORT RD
NATRONA HEIGHTS PA
15065-1900
US

V. Phone/Fax

Practice location:
  • Phone: 412-721-7257
  • Fax:
Mailing address:
  • Phone: 412-721-7257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: