Individual
JEFFRY B. SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
801 5TH ST # 6NW, SIOUX CITY, IA 51101-1326
(712) 279-5718
(712) 279-5978
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
(712) 279-5836
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00967
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447763
—
IA
05
—
100251285-00
—
NE
01
—
38170
WELLMARK
IA
Enumeration date
07/07/2006
Last updated
07/08/2007
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