Organization Name: | RICHARD R SNIDER PSYD & ASSOCIATES PA |
NPI Number: | 1003949991 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD R SNIDER (PRESIDENT) |
Mailing Address: | 2101 S Andrews Ave Suite 105 Ft Lauderdale |
State: | FL US |
Postal Code: | 33316 |
Phone Number: | 9545224941 |
Fax Number: | 9545224357 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY4173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |