Provider Demographics
NPI:1619279809
Name:POMEROY SOLORZANO, RHIANNON LAVON
Entity Type:Individual
Prefix:MRS
First Name:RHIANNON
Middle Name:LAVON
Last Name:POMEROY SOLORZANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RHIANNON
Other - Middle Name:LAVON
Other - Last Name:POMEROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1616 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1906
Mailing Address - Country:US
Mailing Address - Phone:661-326-8304
Mailing Address - Fax:
Practice Address - Street 1:1616 29TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1906
Practice Address - Country:US
Practice Address - Phone:661-326-8304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health