Provider Demographics
NPI:1427758234
Name:SNYDER, TRACY ALLISON (LSW, MSW)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:ALLISON
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:ALLISON
Other - Last Name:HOLSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:124 SHOEMAKER DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-7784
Mailing Address - Country:US
Mailing Address - Phone:513-404-1800
Mailing Address - Fax:
Practice Address - Street 1:124 SHOEMAKER DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-7784
Practice Address - Country:US
Practice Address - Phone:513-404-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0600711104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker