| Doctor Name: | DR. MARVIN SNIDER |
| NPI Number: | 1326181934 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 149 |
| Business Practice Address: | 430 Quinobequin Rd Waban, MA - 024682126 |
| Business Phone Number: | 6179651322 |
| Business Fax Number: | 6179655469 |
| Mailing Address: | 430 Quinobequin Rd, WABAN |
| State: | MA |
| Postal Code: | 024682126 |
| Phone Number: | 6179651322 |
| Fax Number: | 6179655469 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 02/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |