Provider Demographics
NPI:1992097208
Name:SOLURSH, ELIZABETH SARAH (MSW, CDPT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SARAH
Last Name:SOLURSH
Suffix:
Gender:F
Credentials:MSW, CDPT
Other - Prefix:
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:SOLURSH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1116 B TAYLOR AVE N.
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3831
Mailing Address - Country:US
Mailing Address - Phone:206-856-9134
Mailing Address - Fax:
Practice Address - Street 1:1116 B TAYLOR AVE N.
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-3831
Practice Address - Country:US
Practice Address - Phone:206-856-9134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical