Doctor Name: | MR. GREGORY SNIDER |
NPI Number: | 1548420573 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 1578 |
Business Practice Address: | 4035 Hwy 231 Suite G Wetumpka, AL - 360931224 |
Business Phone Number: | 3343289134 |
Business Fax Number: | |
Mailing Address: | Po Box 3903, MONTGOMERY |
State: | AL |
Postal Code: | 369031224 |
Phone Number: | 3343289134 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2008 |
NPI Last Update Date: | 06/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |