Healthcare Provider Details

I. General information

NPI: 1215948021
Provider Name (Legal Business Name): ARDEN L SNYDER PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 OLIVE WAY STE 531
SEATTLE WA
98101-1873
US

IV. Provider business mailing address

1100 9TH AVE MS:M4-PA
SEATTLE WA
98101-2756
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-6600
  • Fax:
Mailing address:
  • Phone: 206-515-5811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY00000678
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: