Healthcare Provider Details

I. General information

NPI: 1669614665
Provider Name (Legal Business Name): CAROLYN KAY SNYDER MSW,LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 S HIGHLAND AVE APT 1
PITTSBURGH PA
15206-5250
US

IV. Provider business mailing address

384 S HIGHLAND AVE APT 1
PITTSBURGH PA
15206-5250
US

V. Phone/Fax

Practice location:
  • Phone: 412-363-2364
  • Fax:
Mailing address:
  • Phone: 412-363-2364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW003573E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: