Provider Demographics
NPI:1568607430
Name:SNYDER, MEGAN (LMSW; LISW-S)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LMSW; LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 E DEWEY ST STE 103
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:MI
Mailing Address - Zip Code:49107-1494
Mailing Address - Country:US
Mailing Address - Phone:269-845-9401
Mailing Address - Fax:
Practice Address - Street 1:324 E DEWEY ST STE 103
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:MI
Practice Address - Zip Code:49107-1494
Practice Address - Country:US
Practice Address - Phone:269-845-9401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI1000253104100000X
MI68011154101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker