MEDICARE: MARIA GABRIELLE SOLOMON

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	250134	AL

General Provider Information

NPI Number	:	1679453138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA GABRIELLE SOLOMON

Provider Business Mailing Address
First Line	:	403 FORREST AVE
Second Line	:
City	:	BREWTON
State	:	AL
Zip	:	36426-2622
Country	:	US
Telephone Number	:	251-286-8354
Fax Number	:	888-809-2072

Provider Business Practice Location Address
First Line	:	403 FORREST AVE
Second Line	:
City	:	BREWTON
State	:	AL
Zip	:	36426-2622
Country	:	US
Telephone Number	:	251-286-8354
Fax Number	:

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

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	10/01/2025

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Directions to “ MARIA GABRIELLE SOLOMON ” Practice Location

Language	Start Address	Practice Location

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