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Provider Information for 1528369659


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Dr. ANNETTE L SOLOMON Psy.D.


Sex: Female

NPI: 1528369659
Last Updated: 2020-04-13
Certification Date: 2020-04-13

Details

NameValue
NPI1528369659
Enumeration Date2010-11-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1611 RUSTIC ARCH WAY
HUNTERSVILLE, NC 28078-3628
United States

Phone: 704-997-8772 | Fax:
 
Primary Practice Address 1601 BRENNER AVE
SALISBURY, NC 28144-2515
United States

Phone: 704-638-9000 | Fax:
 
Secondary Practice Address(es)

22170 W 9 MILE RD
SOUTHFIELD, MI 48033-6007
United States

Phone: 248-336-4000 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 103T00000X - Psychologist MI6301013313
Yes 103TC0700X - Psychologist - ClinicalMI6301013313