Dr Lisa Black Solomon, PHD | |
73 High St, Ctn, Charlestown, MA 02129-3026 | |
(617) 724-9309 | |
(617) 726-3514 |
Full Name | Dr Lisa Black Solomon |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 73 High St, Charlestown, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215928858 | NPI | - | NPPES |
W50647 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6764 (Massachusetts) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Black Solomon, PHD Po Box 9142, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Lisa Black Solomon, PHD 73 High St, Ctn, Charlestown, MA 02129-3026 Ph: (617) 724-9309 |
Peter Shea Ward, MHC Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Constitution Plz, Charlestown, MA 02129 Phone: 617-724-5202 | |
Dr. Andrew Teer, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1 Constitution Rd Ste 140, Charlestown, MA 02129 Phone: 617-724-5202 | |
Dr. Edelmira Kruger, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 73 High St, Mgh Charlestown Health Center Ctn, Charlestown, MA 02129 Phone: 617-724-5432 Fax: 617-726-3514 | |
Gabrielle Groth Hoover, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Constitution Plz, Charlestown, MA 02129 Phone: 617-724-5202 | |
Dr. Donald Scott Mcleod, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 73 High St Ctn, Charlestown Healthcare Center, Charlestown, MA 02129 Phone: 617-724-8005 Fax: 617-726-3514 | |
Brian W Macone, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Constitution Plz, Home Base Program, Charlestown, MA 02129 Phone: 617-724-5202 |