Healthcare Provider Details

I. General information

NPI: 1053560201
Provider Name (Legal Business Name): SOLOMON P LINDSEY LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 K ST NE
WASHINGTON DC
20002-4216
US

IV. Provider business mailing address

35 K ST NE
WASHINGTON DC
20002-4216
US

V. Phone/Fax

Practice location:
  • Phone: 202-442-4147
  • Fax: 202-371-1657
Mailing address:
  • Phone: 202-442-4147
  • Fax: 202-371-1657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC773
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: