MEDICARE: DR. HALEY VOLK SOLOMON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0805X	Geriatric Psychiatry Physician	20A18654	CA
2	2084P0800X	Psychiatry Physician	20A18654	CA
3	2084P0800X	Psychiatry Physician	272065	MA

General Provider Information

NPI Number	:	1861929184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HALEY VOLK SOLOMON DO

Provider Business Mailing Address
First Line	:	240 MORRIS AVE STE 400
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-3295
Country	:	US
Telephone Number	:	801-581-5515
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 MORRIS AVE STE 400
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-3295
Country	:	US
Telephone Number	:	801-581-5515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2017
Last Update Date	:	01/23/2026

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