Provider Demographics
NPI:1841215050
Name:SOLOMON, CYNTHIA H (MS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:H
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:H
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:9653 S 2720 E
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-3415
Mailing Address - Country:US
Mailing Address - Phone:801-883-3359
Mailing Address - Fax:
Practice Address - Street 1:320 WAKARA WAY
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1214
Practice Address - Country:US
Practice Address - Phone:801-883-3359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5080316-3601170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS