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NPI Code Detail

MEDICARE: TYANNA SNIDER PSYD

MEDICARE: TYANNA SNIDER PSYD
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
1103TC2200XClinical Child & Adolescent PsychologistP.7079OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548505514
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYANNA SNIDER PSYD
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2639
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1777 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3502
Country : US
Telephone Number : 614-722-7400
Fax Number : 614-355-7410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2012
Last Update Date : 04/10/2025

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Directions to “ TYANNA SNIDER PSYD” Practice Location

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