1528058104 NPI number — MRS. SARAH MAUREEN SNYDER P.A.C.

Table of content: REBECCA CARTER LMFT (NPI 1730427113)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528058104 NPI number — MRS. SARAH MAUREEN SNYDER P.A.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SNYDER
Provider First Name:
SARAH
Provider Middle Name:
MAUREEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
P.A.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VETTER
Provider Other First Name:
SARAH
Provider Other Middle Name:
MAUREEN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1528058104
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6480 HARRISON AVENUE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45241-6378
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-354-3700
Provider Business Mailing Address Fax Number:
513-354-7601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6480 HARRISON AVENUE
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45241-6378
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-354-3700
Provider Business Practice Location Address Fax Number:
513-354-7651
Provider Enumeration Date:
10/25/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AS0400X , with the licence number:  50-00-2027 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000306920 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: P98005 . This is a "MEDICARE UPIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 415796 . This is a "WELLCARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: PA027S . This is a "HUMANA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com