Provider Demographics
NPI:1881324069
Name:SNYDER, CRISTINA MARIA
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARIA
Last Name:SNYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:FROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1165 N CLARK ST STE 305
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-7862
Mailing Address - Country:US
Mailing Address - Phone:312-880-9913
Mailing Address - Fax:
Practice Address - Street 1:1165 N CLARK ST STE 305
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7862
Practice Address - Country:US
Practice Address - Phone:312-880-9913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-12
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178019520101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health