Healthcare Provider Details

I. General information

NPI: 1316741432
Provider Name (Legal Business Name): ASHLEY SNYDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 TAYLOR ST STE 6J
COLUMBIA SC
29201-2930
US

IV. Provider business mailing address

1301 TAYLOR ST STE 6J
COLUMBIA SC
29201-2930
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-4300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberLL94700
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: