Individual
JAN MELINDA SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2531 C NW 41ST STREET, GAINESVILLE, FL 32606
(352) 372-2206
(352) 377-6662
Mailing address
2531 C NW 41ST STREET, GAINESVILLE, FL 32606
(352) 372-2206
(352) 377-6662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3642
MA
103TC0700X
Clinical Psychologist
Primary
PY4507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73907
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/20/2006
Last updated
07/08/2007
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