Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PY6961 | FL |
N | 103T00000X | Psychologist | PY6961 | FL |
Y | 103G00000X | Clinical Psychologist | PY6961 | FL |
Y | 103TC0700X | Clinical Psychologist | PY6961 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY6961 | FL |
N | 103TP2701X | Group Psychotherapist | PY6961 | FL |
N | 103TS0200X | School Psychologist | PY6961 | FL |
NPI | 1053747345 |
---|---|
Provider Name | Dr. Jennifer M Snyder |
First Address | Miramar, FL 33027-5647 |
Second Address | Weston, FL 33326-3258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2013 |
Last Update Date | 19/09/2013 |