MS. JUDITH ELLEN SNOW


Address: 3501 Lake Eastbrook Blvd Se, Suite 146, Grand Rapids, MI 49546-5938
Phone: 6169549850

MS. JUDITH ELLEN SNOW (NPI# 1770761850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770761850
Entity Type Individual
Full Name MS. JUDITH ELLEN SNOW
Credential M.A.
Practice Address 3501 Lake Eastbrook Blvd Se
Suite 146
Grand Rapids
MI 49546-5938
Practice Telephone 6169549850
Practice Fax Number 6169549852
Mailing Telephone 6169549850
Mailing Fax Number 6169549852
Enumeration Date 2008-01-31
Last Update Date 2008-01-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
6301009661 MI Behavioral Health & Social Service Providers

Other Providers JUDITH SNOW

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1316121874 Judith K. Snow Counselor 3580 Pacific Ave, Tacoma, WA 98418-7915 2007-12-19

Office Location

Street Address 3501 LAKE EASTBROOK BLVD SE
SUITE 146
City GRAND RAPIDS
State MI
Zip Code 49546-5938

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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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