Provider Demographics
NPI:1023164498
Name:SNYDER, ANNE G (LISW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:G
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:G
Other - Last Name:TATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:2601 WYOMING BLVD NE SUITE 208
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112
Mailing Address - Country:US
Mailing Address - Phone:505-503-0272
Mailing Address - Fax:
Practice Address - Street 1:2601 WYOMING BLVD NE STE 208
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1033
Practice Address - Country:US
Practice Address - Phone:505-503-0272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-061931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical