Individual
DR. MARVIN SNIDER
Active
Individual
DR. MARVIN SNIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
149
MA
103T00000X
Psychologist
149
MA
103TA0700X
Adult Development & Aging Psychologist
149
MA
103TB0200X
Cognitive & Behavioral Psychologist
149
MA
103TC0700X
Clinical Psychologist
Primary
149
MA
103TC2200X
Clinical Child & Adolescent Psychologist
149
MA
103TF0000X
Family Psychologist
149
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WO1324
BLUE CROSS PROVIDER NUMBE
MA
Enumeration date
02/14/2007
Last updated
02/26/2008
Update your record
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