Provider Demographics
NPI:1811017395
Name:SOLOMON, ESTELLE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ESTELLE
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 BALDWIN TER
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3654
Mailing Address - Country:US
Mailing Address - Phone:973-696-3928
Mailing Address - Fax:973-696-5209
Practice Address - Street 1:89 BALDWIN TER
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3654
Practice Address - Country:US
Practice Address - Phone:973-696-3928
Practice Address - Fax:973-696-5209
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00201800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist