Angela D Snyder

Individual provider Active NPI Speech-Language Pathologist · Brockway, PA

NPI 1780041871 · NPPES record last updated Jan 21, 2016

Key facts

NPI
1780041871
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL011776 (PA)
Practice address
90 Main St
Brockway, PA 15824-1038
Phone
(814) 265-7733
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SL011776PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL011776 PA Yes

Addresses

Primary practice location

90 Main St
Brockway, PA 15824-1038

Mailing address

90 Main St
Brockway, PA 15824-1038

Other providers in Brockway, PA

All providers in Brockway, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.