Individual
DR. STACEY SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1160 5TH AVE APT 112, NEW YORK, NY 10029-6933
(212) 369-7228
Mailing address
247 82ND ST, BROOKLYN, NY 11209-3810
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021962
NY
Other
Enumeration date
07/09/2017
Last updated
10/04/2017
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