Healthcare Provider Details

I. General information

NPI: 1225194491
Provider Name (Legal Business Name): SYLVIA HOPE SNYDER CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 S INDEPENDENCE BLVD STE 111
VIRGINIA BEACH VA
23452-1129
US

IV. Provider business mailing address

PO BOX 16808
CHESAPEAKE VA
23328-6808
US

V. Phone/Fax

Practice location:
  • Phone: 757-215-6669
  • Fax:
Mailing address:
  • Phone: 757-215-6669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0710101638
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: