Individual
DR. MARVIN SNIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
430 QUINOBEQUIN RD, WABAN, MA 02468-2126
(617) 965-1322
(617) 965-5469
Mailing address
430 QUINOBEQUIN RD, WABAN, MA 02468-2126
(617) 965-1322
(617) 965-5469
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
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