Healthcare Provider Details

I. General information

NPI: 1003217688
Provider Name (Legal Business Name): TERRI SNYDER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERRI LEE WINCHOCK LPC

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 W CHESTER PIKE
WEST CHESTER PA
19382-4844
US

IV. Provider business mailing address

811 W CHESTER PIKE
WEST CHESTER PA
19382-4844
US

V. Phone/Fax

Practice location:
  • Phone: 610-696-0325
  • Fax: 610-696-4808
Mailing address:
  • Phone: 610-696-0325
  • Fax: 610-696-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004877
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: