Individual
JUDY K SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
(574) 534-3887
Mailing address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
(574) 534-3887
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01028687A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01028687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202105
ANTHEM
IN
05
—
100382480
—
IN
Enumeration date
06/23/2006
Last updated
06/11/2010
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