MEDICARE: MRS. BARBARA S SOLOMON MA

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	235Z00000X	Speech-Language Pathologist	22001072A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000582177	OTHER	IN	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457367476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA S SOLOMON MA

Provider Business Mailing Address
First Line	:	60 CLAY CT
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-1164
Country	:	US
Telephone Number	:	765-494-3820
Fax Number	:	765-494-0771

Provider Business Practice Location Address
First Line	:	1353 HEAVILON HALL
Second Line	:	500 OVAL DRIVE
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47907-2038
Country	:	US
Telephone Number	:	765-494-3820
Fax Number	:	765-494-0771

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	11/17/2009

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Directions to “ MRS. BARBARA S SOLOMON MA” Practice Location

Language	Start Address	Practice Location

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