Provider Demographics
NPI:1316303621
Name:SNYDER, KATHERINE ALICE (CCCSLP)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ALICE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2724 RIVERVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-1643
Mailing Address - Country:US
Mailing Address - Phone:402-344-7505
Mailing Address - Fax:
Practice Address - Street 1:2724 RIVERVIEW BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-1643
Practice Address - Country:US
Practice Address - Phone:402-344-7505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist