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NPI Code Detail

MEDICARE: MR. DREW WAITE SNYDER

MEDICARE: MR. DREW WAITE SNYDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1356517270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DREW WAITE SNYDER
Provider Business Mailing Address
First Line : 1233 E 4TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-3908
Country : US
Telephone Number : 248-613-3844
Fax Number :
Provider Business Practice Location Address
First Line : 7595 KRAMERIA ST
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-1339
Country : US
Telephone Number : 303-287-7270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 04/30/2008

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