Doctor Name: | KAREN A. SNIDER |
NPI Number: | 1306212535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2615-226 |
Business Practice Address: | W275n1203 Springhill Dr Pewaukee, WI - 530725331 |
Business Phone Number: | 2624082386 |
Business Fax Number: | |
Mailing Address: | W275n1203 Springhill Dr, PEWAUKEE |
State: | WI |
Postal Code: | 530725331 |
Phone Number: | 2624082386 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2615-226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |