Doctor Name: | DR. JEFFERY DANIEL SNARR |
NPI Number: | 1134441207 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 017772 |
Business Practice Address: | 6565 Fourth Section Rd Ste 400 Brockport, NY - 144202415 |
Business Phone Number: | 5856376740 |
Business Fax Number: | 5856378096 |
Mailing Address: | 6565 Fourth Section Rd Ste 400, BROCKPORT |
State: | NY |
Postal Code: | 144202415 |
Phone Number: | 5856376740 |
Fax Number: | 5856378096 |
NPI Enumeration Date: | 02/17/2010 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 017772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |