Lisa Black Solomon in Charlestown - Psychologist
Lisa Black Solomon - NPI 1215928858
Lisa Black Solomon is a Psychologist in Charlestown, Massachusetts. Lisa Black Solomon practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lisa Black Solomon is 1215928858. The last update date is 2007-07-08.
Lisa Black Solomon's current location address is 73 High St, Charlestown, Massachusetts. You can contact this provider via phone number 6177249309 and fax number 6177263514. The mailing address for Lisa Black Solomon is 73 High St, Charlestown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Black Solomon |
|---|---|
| Address | 73 High St, Charlestown, Massachusetts |
| Phone Number | 6177249309 |
| Fax Number | 6177263514 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1215928858 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 73 High St |
|---|---|
| City | Charlestown |
| State | Massachusetts (MA) |
| Post Code | 21293026 |
| Phone Number | 6177249309 |
| Fax Number | 6177263514 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6764 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W50647 | MA | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lisa Black Solomon by the Centers for Medicare & Medicaid Services?
The Lisa Black Solomon has been assigned the NPI (National Provider Identifier) 1215928858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Lisa Black Solomon's facilities are situated?
The facilities of Lisa Black Solomon are physically located at the following address: 73 High St, Charlestown, MA, 21293026.
What is the area of specialization for Lisa Black Solomon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Black Solomon is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When did the Lisa Black Solomon receive its 1215928858?
The Lisa Black Solomon was issued its 1215928858 on 2005-11-02, which is the date when the organization was assigned this unique identifier.
When was the Lisa Black Solomon's information last updated?
The Lisa Black Solomon's information was last updated on 2007-07-08.