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General NPI Number Information
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NPI Number | 1811462823
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Entity Type | Individual
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Provider Name | ASHLEY MARIE SNOWDEN MA, TLLP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2018
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Last Update Date | 10/05/2018
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Provider Practice Location Address
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Address Line | 1200 N TELEGRAPH RD
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City | PONTIAC
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State | MI
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Zip | 48341-1032
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Country | US
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Telephone | 248-456-1991
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Fax |
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Provider Business Mailing Address
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Address Line | 42344 BUCKINGHAM DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-2536
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Country | US
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Telephone | 586-649-8463
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301017565
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License Number State | MI
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