Healthcare Provider Details

I. General information

NPI: 1457405284
Provider Name (Legal Business Name): CATHERINE C SNYDER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E BEAU STREET WASHINGTON TRUST BLDG STE 616
WASHINGTON PA
15301-4713
US

IV. Provider business mailing address

122 PINE AVE
HOUSTON PA
15342-1624
US

V. Phone/Fax

Practice location:
  • Phone: 724-225-6760
  • Fax: 724-229-8757
Mailing address:
  • Phone: 724-873-7558
  • Fax: 724-229-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013398
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: