Provider Demographics
NPI:1902543531
Name:SNEATH, JUDITH ANN
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANN
Last Name:SNEATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 E CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLYROOD
Mailing Address - State:KS
Mailing Address - Zip Code:67450-9628
Mailing Address - Country:US
Mailing Address - Phone:785-531-1625
Mailing Address - Fax:
Practice Address - Street 1:314 E CONCORD AVE
Practice Address - Street 2:
Practice Address - City:HOLYROOD
Practice Address - State:KS
Practice Address - Zip Code:67450-9628
Practice Address - Country:US
Practice Address - Phone:785-531-1625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst