Provider Demographics
NPI:1194112193
Name:SNYDER, ADRIANNE NICHOL (MA, ATR-BC, LPCC)
Entity type:Individual
Prefix:MRS
First Name:ADRIANNE
Middle Name:NICHOL
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3181 ANGLETERRE BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5005
Mailing Address - Country:US
Mailing Address - Phone:330-265-8915
Mailing Address - Fax:
Practice Address - Street 1:4275 FULTON DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2821
Practice Address - Country:US
Practice Address - Phone:330-249-3004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-17
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
17-370221700000X
OHE.1901204101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0256513Medicaid