Provider Demographics
NPI:1679951297
Name:SOLIS, NASHA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NASHA
Middle Name:
Last Name:SOLIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 NE 15TH ST
Mailing Address - Street 2:APT 28-E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1451
Mailing Address - Country:US
Mailing Address - Phone:305-494-6839
Mailing Address - Fax:
Practice Address - Street 1:555 NE 15TH ST
Practice Address - Street 2:APT 28-E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1451
Practice Address - Country:US
Practice Address - Phone:305-494-6839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9273103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical