| Allan H. Solomon Ph.d. Inc. | |
|
1200 Mt. Diablo Blvd. Ste. 406 Walnut Creek CA 94596-4890 | |
| (925) 943-6572 | |
| Not Available |
| Full Name | Allan H. Solomon Ph.d. Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1200 Mt. Diablo Blvd., Walnut Creek, California |
| Authorized Official Name and Position | Allan Howard Solomon (PSYCHOLOGIST) |
| Authorized Official Contact | 9259436572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allan H. Solomon Ph.d. Inc. 1200 Mt Diablo Blvd Ste. 406 Walnut Creek CA 94596-4852 Ph: (925) 943-6572 | Allan H. Solomon Ph.d. Inc. 1200 Mt. Diablo Blvd. Ste. 406 Walnut Creek CA 94596-4890 Ph: (925) 943-6572 |
| NPI Number | 1194274910 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Medicare PECOS PAC ID | 6305241712 |
|---|---|
| Medicare Enrollment ID | O20210824001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194274910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 6304 (California) | Primary |
| Provider Name | Allan Howard Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417931692 PECOS PAC ID: 4486059896 Enrollment ID: I20210825000275 |
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