Individual
PAMELA R SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4754 WOODMERE BLVD, SUITE B, MONTGOMERY, AL 36106
(334) 356-8430
(334) 356-8413
Mailing address
4754 WOODMERE BLVD, SUITE B, MONTGOMERY, AL 36106
(334) 356-8430
(334) 356-8413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
753
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PLAN #510
BLUE CROSS BLUE SHIELD
AL
01
—
PLAN #74611
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/26/2006
Last updated
07/08/2007
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