Individual
DR. PHYLLIS C. SOLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
118 E 26TH ST, 302C, MINNEAPOLIS, MN 55404-4359
(612) 309-7902
(612) 870-8944
Mailing address
118 E 26TH ST, 302C, MINNEAPOLIS, MN 55404-4359
(612) 309-7902
(612) 870-8944
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3479
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
733825200
MEDICAL ASSISTANCE
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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