Snyder, Phillip D.
Snyder, Phillip D. is an sole proprietor health care provider with primary practice located at 960 E Green St Suite 202, Pasadena CA 91106-2401. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Snyder, Phillip D. can be contacted via phone (626) 793-7792.Contact Information
Primary practice address
960 E Green St Suite 202
Pasadena CA 91106-2401
Phone: (626) 793-7792
Fax: (626) 793-7797
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY9930 | California |
Profile Details
NPI number | 1962563304 |
---|---|
LBN Legal business name | Snyder, Phillip D. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 12th, 2006 |
Last updated | Nov 18th, 2011 - about 13 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 | 1962563304 | NPPES |
California | MEDICAID | PSY0099300 |
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