Jessica P. Snyder | |
626 Nebraska Ave Holton KS 66436-1462 | |
(785) 362-7000 | |
(785) 362-7100 |
Full Name | Jessica P. Snyder |
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Speciality | Psychologist - Clinical |
Location | 626 Nebraska Ave, Holton, Kansas |
Authorized Official Name and Position | Jessica Snyder (OWNER) |
Authorized Official Contact | 7853627000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jessica P. Snyder 626 Nebraska Ave Holton KS 66436-1462 Ph: (785) 362-7000 | Jessica P. Snyder 626 Nebraska Ave Holton KS 66436-1462 Ph: (785) 362-7000 |
NPI Number | 1902304116 |
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Provider Enumeration Date | 01/23/2018 |
Last Update Date | 05/06/2022 |
Certification Date | 05/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902304116 | NPI | - | NPPES |
200556470B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1431 (Kansas) | Primary |