MEDICARE: KAITLIN SNYDER MD

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
1	2084P0800X	Psychiatry Physician	0101273138	VA

General Provider Information

NPI Number	:	1386264042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN SNYDER MD

Provider Business Mailing Address
First Line	:	1084 POCAHONTAS ST STE 400
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23511-2988
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1084 POCAHONTAS ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23511-2133
Country	:	US
Telephone Number	:	757-445-7114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	09/10/2025

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