Individual
JOHN THOMAS SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
103 THORNTON ST, HAMDEN, CT 06517-1336
(203) 230-9622
Mailing address
103 THORNTON ST, HAMDEN, CT 06517-1336
(203) 230-9622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003573
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12060644
ASHA
—
Enumeration date
01/09/2012
Last updated
01/09/2012
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