Provider Demographics
NPI:1992754287
Name:SNYDER, JOYCE S (MFT, CEAP)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:S
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MFT, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2663 CENTINELA AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-3141
Mailing Address - Country:US
Mailing Address - Phone:310-396-8926
Mailing Address - Fax:310-396-8926
Practice Address - Street 1:2663 CENTINELA AVE
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-3141
Practice Address - Country:US
Practice Address - Phone:310-396-8926
Practice Address - Fax:310-396-8926
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT15647101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health