Provider Demographics
NPI:1487756896
Name:SNIDER, BARRY W (MSW LCSW PIP)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:W
Last Name:SNIDER
Suffix:
Gender:M
Credentials:MSW LCSW PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 HELEN KELLER BLVD
Mailing Address - Street 2:ST A
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404
Mailing Address - Country:US
Mailing Address - Phone:205-554-0866
Mailing Address - Fax:205-554-0279
Practice Address - Street 1:661 HELEN KELLER BLVD
Practice Address - Street 2:ST A
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404
Practice Address - Country:US
Practice Address - Phone:205-554-0866
Practice Address - Fax:205-554-0279
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0848C101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor