Provider Demographics
NPI:1124020599
Name:SOLODAR, HELENA STERN (AUD)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:STERN
Last Name:SOLODAR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 PEACHTREE RD NW
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1314
Mailing Address - Country:US
Mailing Address - Phone:404-351-4114
Mailing Address - Fax:404-351-4223
Practice Address - Street 1:2140 PEACHTREE RD NW
Practice Address - Street 2:SUITE 350
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1314
Practice Address - Country:US
Practice Address - Phone:404-351-4114
Practice Address - Fax:404-351-4223
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA644231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00731783FMedicaid
GA0073183AMedicaid
GA00731783GMedicaid
GA00731783BMedicaid
GA00731783DMedicaid
GA00731783CMedicaid
GA0073183AMedicaid