Provider Demographics
NPI:1659590438
Name:SOLAZZO, ADELE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADELE
Middle Name:
Last Name:SOLAZZO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3166 EDGEMOOR DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-1707
Mailing Address - Country:US
Mailing Address - Phone:727-786-1368
Mailing Address - Fax:
Practice Address - Street 1:3166 EDGEMOOR DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-1707
Practice Address - Country:US
Practice Address - Phone:727-786-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4355103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist