Healthcare Provider Details

I. General information

NPI: 1861759235
Provider Name (Legal Business Name): JOSHUA EUGENE SNYDER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 04/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 PLYMOUTH RD SUITE 215
PLYMOUTHMEETING PA
19462
US

IV. Provider business mailing address

523 PLYMOUTH RD SUITE 215
PLYMOUTHMEETING PA
19462
US

V. Phone/Fax

Practice location:
  • Phone: 610-825-9400
  • Fax:
Mailing address:
  • Phone: 610-825-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006289
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: