Solomon, Lisa Black

Solomon, Lisa Black is an individual health care provider with primary practice located at 73 High St Ctn, Charlestown MA 02129-3026. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Solomon, Lisa Black can be contacted via phone (617) 724-9309.

Contact Information

Primary practice address
73 High St Ctn Charlestown MA 02129-3026
Phone: (617) 724-9309
Fax: (617) 726-3514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6764 Massachusetts

Profile Details

NPI number 1215928858
LBN Legal business name Solomon, Lisa Black
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215928858 NPPES
Massachusetts Other W50647 BCBS

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