Provider Demographics
NPI:1457367476
Name:SOLOMON, BARBARA S (MA)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:S
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CLAY CT
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1164
Mailing Address - Country:US
Mailing Address - Phone:765-494-3820
Mailing Address - Fax:765-494-0771
Practice Address - Street 1:1353 HEAVILON HALL
Practice Address - Street 2:500 OVAL DRIVE
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47907-2038
Practice Address - Country:US
Practice Address - Phone:765-494-3820
Practice Address - Fax:765-494-0771
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22001072A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000582177OtherANTHEM
IN200903200Medicaid
INP00754786Medicare PIN
IN815500Y6Medicare PIN