KAREN SUE SNYDER DENOIA PHD
Clinical Neuropsychologist
Alpharetta, Georgia
Provider NPI: 1821021882
Provider Information:KAREN SUE SNYDER DENOIA PHD
Gender: F
Not Sole Proprietor
Practice Location:
2050 MARCONI DR SUITE 300 ALPHARETTA, GA 30005 US
Tel: 770-777-2831 Fax: 770-777-2832
Business Mailing Address:
3930 THREE CHIMNEYS LN CUMMING, GA 30041 US
Tel: 770-777-8231 Fax: 770-777-8232
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | GA | PSY002613 |
Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | GA | PSY002613 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000980581A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin