| Brenda Snyder, Llc | |
|
2000 W Pioneer Pkwy Suite 20 Peoria IL 61615-1835 | |
| (309) 678-3957 | |
| Not Available |
| Full Name | Brenda Snyder, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2000 W Pioneer Pkwy, Peoria, Illinois |
| Authorized Official Name and Position | Brenda Snyder (OWNER) |
| Authorized Official Contact | 3096783957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Snyder, Llc 2000 W Pioneer Pkwy Suite 20 Peoria IL 61615-1835 Ph: (309) 678-3957 | Brenda Snyder, Llc 2000 W Pioneer Pkwy Suite 20 Peoria IL 61615-1835 Ph: (309) 678-3957 |
| NPI Number | 1194279562 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Medicare PECOS PAC ID | 2062708076 |
|---|---|
| Medicare Enrollment ID | O20160830003140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194279562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149007976 (Illinois) | Primary |
| Provider Name | Brenda Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366731374 PECOS PAC ID: 3971899980 Enrollment ID: I20160830003179 |
| Provider Name | Mary Kathryn Lindsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710623186 PECOS PAC ID: 8820530645 Enrollment ID: I20240607003535 |
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