Provider Demographics
NPI:1750789160
Name:SOLOMON, NATALIE ANN (MS,CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:ANN
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4532 HATTIES PROGRESS DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-6314
Mailing Address - Country:US
Mailing Address - Phone:301-262-7165
Mailing Address - Fax:301-262-7165
Practice Address - Street 1:6529 3RD ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2703
Practice Address - Country:US
Practice Address - Phone:202-821-5739
Practice Address - Fax:301-881-4474
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000255235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist