Phillip D. Snyder Ph.d. | |
960 E Green St #202 Pasadena CA 91106-2412 | |
(626) 793-7792 | |
(626) 793-7797 |
Full Name | Phillip D. Snyder Ph.d. |
---|---|
Speciality | Psychologist |
Location | 960 E Green St, Pasadena, California |
Authorized Official Name and Position | Phillip D Snyder (OFFICER) |
Authorized Official Contact | 6267937792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Phillip D. Snyder Ph.d. 960 E Green St #202 Pasadena CA 91106-2412 Ph: (626) 793-7792 | Phillip D. Snyder Ph.d. 960 E Green St #202 Pasadena CA 91106-2412 Ph: (626) 793-7792 |
NPI Number | 1750655122 |
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Provider Enumeration Date | 03/02/2012 |
Last Update Date | 03/02/2012 |
Medicare PECOS PAC ID | 8325205628 |
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Medicare Enrollment ID | O20120127000762 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750655122 | NPI | - | NPPES |
PSY099300 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY9930 (California) | Primary |
Provider Name | Phillip D Snyder |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1962563304 PECOS PAC ID: 9234396532 Enrollment ID: I20120305000161 |
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