Provider Demographics
NPI:1831132943
Name:BARROS, SOL J (MS)
Entity Type:Individual
Prefix:MS
First Name:SOL
Middle Name:J
Last Name:BARROS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MARGARET LN
Mailing Address - Street 2:SUITE D
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-4207
Mailing Address - Country:US
Mailing Address - Phone:530-272-2247
Mailing Address - Fax:530-272-4120
Practice Address - Street 1:101 MARGARET LN
Practice Address - Street 2:SUITE D
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-4207
Practice Address - Country:US
Practice Address - Phone:530-272-2247
Practice Address - Fax:530-272-4120
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 1699231H00000X
CAAU1699237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0016990Medicaid
CAZZZ02626ZMedicare PIN