| Organization Name: | STEPHANIE SNOW, PH.D., LLC |
| NPI Number: | 1083085740 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE T. SNOW (PSYCHOLOGIST, OWNER) |
| Mailing Address: | 1169 Ellington Rd South Windsor |
| State: | CT US |
| Postal Code: | 060743515 |
| Phone Number: | 8604046006 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2015 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 003376 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |