Provider Demographics
NPI:1194045823
Name:SOLOMON, MARIA CELESTE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CELESTE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35081 LONE HILL CT
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8344
Mailing Address - Country:US
Mailing Address - Phone:951-970-6981
Mailing Address - Fax:
Practice Address - Street 1:35081 LONE HILL CT
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-8344
Practice Address - Country:US
Practice Address - Phone:951-970-6981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 15924235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist