Provider Demographics
NPI:1700407855
Name:SOLAS, SONIA
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:SOLAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:NARANJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13 HENDRY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-1857
Mailing Address - Country:US
Mailing Address - Phone:857-300-0853
Mailing Address - Fax:
Practice Address - Street 1:500 RUTHERFORD AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02129-1647
Practice Address - Country:US
Practice Address - Phone:617-868-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health