Provider Demographics
NPI:1699278002
Name:SOLOMON, ESTHER (SLP)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 62042
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80962-2042
Mailing Address - Country:US
Mailing Address - Phone:636-544-2652
Mailing Address - Fax:
Practice Address - Street 1:1330 QUAIL LAKE LOOP STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4651
Practice Address - Country:US
Practice Address - Phone:719-540-2108
Practice Address - Fax:719-540-2101
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018005968235Z00000X
COSLP.0003531235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist