Healthcare Provider Details

I. General information

NPI: 1578490843
Provider Name (Legal Business Name): KERRITH LYNNE SOLOMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 VARNUM ST NW
WASHINGTON DC
20011-7010
US

IV. Provider business mailing address

1532 VARNUM ST NW
WASHINGTON DC
20011-7010
US

V. Phone/Fax

Practice location:
  • Phone: 203-984-4108
  • Fax:
Mailing address:
  • Phone: 203-984-4108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: