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NPI Code Detail

MEDICARE: LEHENRY SOLOMON MFT

MEDICARE: LEHENRY SOLOMON MFT
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
1106H00000XMarriage & Family Therapist47903CA
2106H00000XMarriage & Family TherapistLMFT47903CA

General Provider Information

NPI Number : 1124142633
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEHENRY SOLOMON MFT
Provider Business Mailing Address
First Line : 850 E WARDLOW RD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4628
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 E WARDLOW RD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4628
Country : US
Telephone Number : 562-249-9091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 06/17/2020

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Directions to “ LEHENRY SOLOMON MFT” Practice Location

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