DR. ELLEN WILLIAMS SNIPES


Address: 10 Clark St, Enterprise, FL 32725-8106
Phone: 3866689407

DR. ELLEN WILLIAMS SNIPES (NPI# 1982862520) 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) 1982862520
Entity Type Individual
Full Name DR. ELLEN WILLIAMS SNIPES
Credential PH.D.
Practice Address 10 Clark St
Enterprise
FL 32725-8106
Practice Telephone 3866689407
Mailing Telephone 3866689407
Enumeration Date 2008-05-30
Last Update Date 2008-05-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PY3865 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 211234500 05
FL BLUE CROSS BLUE SHIELD OF FLORIDA 73168 01

Office Location

Street Address 10 CLARK ST
City ENTERPRISE
State FL
Zip Code 32725-8106

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City ENTERPRISE
Zip Code 32725

Improve Information

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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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