Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC004877 | PA |
NPI | 1003217688 |
---|---|
Provider Name | Terri Snyder |
First Address | West Chester, PA 19382-4844 |
Second Address | West Chester, PA 19382-4844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2014 |
Last Update Date | 15/09/2014 |