Individual
MR. JENNIFER KRISTINE SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-4431
Mailing address
615 N PROMENADE ST, PO BOX 530, HAVANA, IL 62644-1243
(309) 543-4431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376017857001
—
IL
Enumeration date
07/05/2012
Last updated
07/05/2012
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