Provider Demographics
NPI:1235566647
Name:SOLOMON, TODD M (PHD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:M
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:16 NATHAN PRATT DR
Mailing Address - Street 2:200
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4633
Mailing Address - Country:US
Mailing Address - Phone:413-822-5385
Mailing Address - Fax:
Practice Address - Street 1:72 EAST CONCORD STREET, B-7800
Practice Address - Street 2:BOSTON UNIVERSITY SCHOOL OF MEDICINE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-414-1197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist