Healthcare Provider Details
I. General information
NPI: 1558497214
Provider Name (Legal Business Name): HARRY RICHARD SNIDER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/26/2007
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 W ARBROOK BLVD SUITE 330
ARLINGTON TX
76015-4327
US
IV. Provider business mailing address
800 W ARBROOK BLVD SUITE 330
ARLINGTON TX
76015-4327
US
V. Phone/Fax
- Phone: 817-417-8782
- Fax: 817-417-8766
- Phone: 817-417-8782
- Fax: 817-417-8766
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 14224 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: