MEDICARE: SOLAS PSYCHOLOGY PLLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1467305714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLAS PSYCHOLOGY PLLC

Provider Business Mailing Address
First Line	:	710 ERICKSEN AVE NE STE 100
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2835
Country	:	US
Telephone Number	:	253-260-5597
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 ERICKSEN AVE NE STE 100
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-2835
Country	:	US
Telephone Number	:	253-260-5597
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	ALYSSA SMYTH
Credential	:	PHD
Telephone Number	:	253-260-5597

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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