Provider Demographics
NPI:1649669219
Name:SNAPP, HEATHER YVONNE (LMSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:YVONNE
Last Name:SNAPP
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-0670
Mailing Address - Country:US
Mailing Address - Phone:316-469-4160
Mailing Address - Fax:316-269-3350
Practice Address - Street 1:1010 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3609
Practice Address - Country:US
Practice Address - Phone:316-269-4160
Practice Address - Fax:316-269-3550
Is Sole Proprietor?:No
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical