Provider Demographics
NPI:1508132879
Name:DARKO, SOLOMON YAW (MS)
Entity Type:Individual
Prefix:
First Name:SOLOMON
Middle Name:YAW
Last Name:DARKO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 MEADOW ST STE 402
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-1807
Mailing Address - Country:US
Mailing Address - Phone:860-510-3959
Mailing Address - Fax:203-754-1551
Practice Address - Street 1:228 MEADOW ST STE 402
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1807
Practice Address - Country:US
Practice Address - Phone:860-387-5616
Practice Address - Fax:203-754-1551
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
CT003271101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional