Individual
DR. GARY RUSSELL SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15446 BEL RED ROAD NE, SUITE 430, REDMOND, WA 98052-5507
(425) 885-3535
Mailing address
15446 BEL RED ROAD NE, SUITE 430, REDMOND, WA 98052-5507
(425) 885-3535
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1110
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SN5020
REGANCE RIDER #
WA
Enumeration date
11/24/2006
Last updated
07/08/2007
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