Provider Demographics
NPI:1053032334
Name:SNYDER, MATTHEW (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 BOYER CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2102
Mailing Address - Country:US
Mailing Address - Phone:775-770-6803
Mailing Address - Fax:
Practice Address - Street 1:645 N ARLINGTON AVE STE 350
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4448
Practice Address - Country:US
Practice Address - Phone:775-770-6803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1833235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist