Provider Demographics
NPI:1760437990
Name:SOLOMON, PHILIP SCOTT (LMHC; LMFT)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:SCOTT
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:LMHC; LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11067 SPRINGBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-1644
Mailing Address - Country:US
Mailing Address - Phone:954-646-4879
Mailing Address - Fax:888-900-2325
Practice Address - Street 1:11067 SPRINGBROOK CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-1644
Practice Address - Country:US
Practice Address - Phone:954-646-4899
Practice Address - Fax:888-900-2325
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 1214106H00000X
FLPS19571183500000X
FLMH 1991101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No183500000XPharmacy Service ProvidersPharmacist