Provider Demographics
NPI:1942231600
Name:O'SEARO-SNYDER, MARIA A (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:O'SEARO-SNYDER
Suffix:
Gender:F
Credentials:PHD
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 966
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-0966
Mailing Address - Country:US
Mailing Address - Phone:724-866-8333
Mailing Address - Fax:724-982-4109
Practice Address - Street 1:33 STRAWBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3249
Practice Address - Country:US
Practice Address - Phone:724-866-8333
Practice Address - Fax:724-982-4109
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA575013PAMedicaid