Snider, Melody L
Snider, Melody L is an sole proprietor health care provider with primary practice located at 2498 N Stokesberry Pl Suite 150, Meridian ID 83646-5150. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Snider, Melody L can be contacted via phone (208) 957-5450.Contact Information
Primary practice address
2498 N Stokesberry Pl Suite 150
Meridian ID 83646-5150
Phone: (208) 957-5450
Fax: (208) 957-5292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202392 | Idaho |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY-202392 | Idaho |
Profile Details
| NPI number | 1982734984 |
|---|---|
| LBN Legal business name | Snider, Melody L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 9th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982734984 | NPPES |
| Idaho | Other | 16200124 | MEDICARE GROUP PIN |
| Idaho | Other | N6316 | MEDICARE GROUP PIN |
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