Doctor Name: | MRS. LORI MARIE SNYDER |
NPI Number: | 1104045327 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 005178 |
Business Practice Address: | 13545 Barrett Parkway Dr Suite 150 Ballwin, MO - 630213822 |
Business Phone Number: | 3149840901 |
Business Fax Number: | 3149840006 |
Mailing Address: | 13545 Barrett Parkway Dr, Suite 150 BALLWIN |
State: | MO |
Postal Code: | 630213822 |
Phone Number: | 3149840901 |
Fax Number: | 3149840006 |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005178 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |