Provider Demographics
NPI:1093184574
Name:SNIGIER, TEGAN A L (PSYD)
Entity type:Individual
Prefix:DR
First Name:TEGAN
Middle Name:A L
Last Name:SNIGIER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:TEGAN
Other - Middle Name:A L
Other - Last Name:NEUSTATTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:902 MARYE ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5629
Mailing Address - Country:US
Mailing Address - Phone:540-809-4275
Mailing Address - Fax:
Practice Address - Street 1:902 MARYE ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5629
Practice Address - Country:US
Practice Address - Phone:540-809-4275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10990103TC0700X
VA0810006792103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical