Healthcare Provider Details

I. General information

NPI: 1932480480
Provider Name (Legal Business Name): BONNY L SNYDER BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6314 19TH ST W STE 7
FIRCREST WA
98466-6223
US

IV. Provider business mailing address

6314 19TH ST W STE 7
FIRCREST WA
98466-6223
US

V. Phone/Fax

Practice location:
  • Phone: 253-732-1699
  • Fax:
Mailing address:
  • Phone: 253-732-1699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: