Provider Demographics
NPI:1013388560
Name:SOLOMON, ERIC (LPC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:896 CLOVER PL
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3802
Mailing Address - Country:US
Mailing Address - Phone:267-235-8209
Mailing Address - Fax:
Practice Address - Street 1:896 CLOVER PL
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:PA
Practice Address - Zip Code:18974-3802
Practice Address - Country:US
Practice Address - Phone:267-235-8209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003634101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health