Provider Demographics
NPI:1699929893
Name:SNEEDEN, JAMES (HAD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SNEEDEN
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:SNEEDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HAD
Mailing Address - Street 1:1039 4TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-1203
Mailing Address - Country:US
Mailing Address - Phone:605-753-4327
Mailing Address - Fax:815-572-9346
Practice Address - Street 1:1039 4TH ST NE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-1203
Practice Address - Country:US
Practice Address - Phone:605-753-4327
Practice Address - Fax:815-572-9346
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD313H237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist