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
Fax: (626) 793-7797
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962563304 NPPES
California MEDICAID PSY0099300

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