Individual
DR. STEVEN CHARLES SNOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
101 DEVANT ST STE 1001, FAYETTEVILLE, GA 30214-2719
(770) 997-1738
(678) 545-6173
Mailing address
101 DEVANT ST STE 1001, FAYETTEVILLE, GA 30214-2719
(770) 997-1738
(678) 545-6173
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY0001477
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY0001477
GA
103TC0700X
Clinical Psychologist
Primary
1477
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY0001477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000545201A
—
GA
Enumeration date
02/20/2006
Last updated
04/06/2021
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