Provider Demographics
NPI:1003042201
Name:SOLIGO, MARY P (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:P
Last Name:SOLIGO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5235 W WOODMILL DR
Mailing Address - Street 2:SUITE 47
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4068
Mailing Address - Country:US
Mailing Address - Phone:302-995-1680
Mailing Address - Fax:302-995-1790
Practice Address - Street 1:5235 W WOODMILL DR
Practice Address - Street 2:SUITE 47
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4068
Practice Address - Country:US
Practice Address - Phone:302-995-1680
Practice Address - Fax:302-995-1790
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE466101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional