Provider Demographics
NPI:1548371461
Name:SNYDER, S. FAYE (PSYD)
Entity type:Individual
Prefix:DR
First Name:S. FAYE
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15650 DEVONSHIRE ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7241
Mailing Address - Country:US
Mailing Address - Phone:661-257-1020
Mailing Address - Fax:661-257-1188
Practice Address - Street 1:15650 DEVONSHIRE ST
Practice Address - Street 2:SUITE 212
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7241
Practice Address - Country:US
Practice Address - Phone:661-257-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29816106H00000X
CAPSY 24806103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist