Jerry Solomon is a Clinical in Santa Cruz, California. Jerry Solomon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Solomon is 1023142890. The last update date is 2007-07-08.
Jerry Solomon's current location address is 407 Avalon St, Santa Cruz, California. You can contact this provider via phone number 8314258785 and fax number 8314252308. The mailing address for Jerry Solomon is 407 Avalon St, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Solomon |
|---|---|
| Address | 407 Avalon St, Santa Cruz, California |
| Phone Number | 8314258785 |
| Fax Number | 8314252308 |
| Sole Proprietor | Y |
| Credentials | JERRY SOLO |
NPI Number Detail
| NPI Number | 1023142890 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 407 Avalon St |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950602207 |
| Phone Number | 8314258785 |
| Fax Number | 8314252308 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY7825 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Solomon?
The Jerry Solomon has been issued the NPI (National Provider Identifier) 1023142890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jerry Solomon is located?
The Jerry Solomon is situated at the following address: 407 Avalon St, Santa Cruz, CA, 950602207.
What is Jerry Solomon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry Solomon's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023142890 to Jerry Solomon?
The Jerry Solomon received its 1023142890 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the information regarding Jerry Solomon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry Solomon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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