Individual
DANIEL L SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3330 CLAYSTONE ST SE, GRAND RAPIDS, MI 49546-5765
(616) 949-7460
(616) 949-3018
Mailing address
3330 CLAYSTONE ST SE, GRAND RAPIDS, MI 49546-5765
(616) 949-7460
(616) 949-3018
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301009158
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
1-01610
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11289266
CAQH
MI
01
—
68OD146520
BLUE CROSS BLUE SHIELD
MI
01
—
P106527
BLUE CARE NETWORK
MI
Enumeration date
08/02/2006
Last updated
09/11/2025
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