Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor |
NPI | 1003270851 |
---|---|
Provider Name | Mr. Robert Paul Snyder |
First Address | Reno, NV 89502-3527 |
Second Address | Reno, NV 89502-3527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2016 |
Last Update Date | 07/05/2019 |