Healthcare Provider Details

I. General information

NPI: 1750217543
Provider Name (Legal Business Name): RACHEL SOLOMON
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 SUTHERLAND RD APT 8
BRIGHTON MA
02135-7020
US

IV. Provider business mailing address

21 SUTHERLAND RD APT 8
BRIGHTON MA
02135-7020
US

V. Phone/Fax

Practice location:
  • Phone: 561-859-2138
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: