Mark And Carol Solomon Ptr in Libertyville - Clinical
Mark And Carol Solomon Ptr - NPI 1740300672
Mark And Carol Solomon Ptr is a Clinical in Libertyville, Illinois. Mark And Carol Solomon Ptr practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark And Carol Solomon Ptr is 1740300672. The last update date is 2011-11-16.
Mark And Carol Solomon Ptr's current location address is 128 Newberry Ave, Libertyville, Illinois. You can contact this provider via phone number 8476800272 and fax number 8473601615. The mailing address for Mark And Carol Solomon Ptr is 128 Newberry Ave, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark And Carol Solomon Ptr |
|---|---|
| Address | 128 Newberry Ave, Libertyville, Illinois |
| Phone Number | 8476800272 |
| Fax Number | 8473601615 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Solomon Mark |
| Credentials | PSY.D. |
| Telephone Number | 8476800272 |
NPI Number Detail
| NPI Number | 1740300672 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2011-11-16 |
Provider Mailing Address Detail
| Address | 128 Newberry Ave |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600481923 |
| Phone Number | 8476800272 |
| Fax Number | 8473601615 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 identifier code issued to Mark And Carol Solomon Ptr by the Centers for Medicare & Medicaid Services?
The Mark And Carol Solomon Ptr has been assigned the NPI (National Provider Identifier) 1740300672. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark And Carol Solomon Ptr?
The Mark And Carol Solomon Ptr is physically situated at 128 Newberry Ave, in the city of Libertyville, state of IL, with the postal code 600481923.
What is Mark And Carol Solomon Ptr's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark And Carol Solomon Ptr's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Mark And Carol Solomon Ptr receive its 1740300672 assignment?
The Mark And Carol Solomon Ptr was assigned its 1740300672 on 2007-04-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mark And Carol Solomon Ptr most recently updated or revised?
The information pertaining to Mark And Carol Solomon Ptr, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-16.