Doctor Name: | ELEANOR SOLCH-FULLER |
NPI Number: | 1598036006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R056244-1 |
Business Practice Address: | 75 Goose Hill Rd Cold Spring Harbor, NY - 117241318 |
Business Phone Number: | 6313675940 |
Business Fax Number: | |
Mailing Address: | 75 Goose Hill Rd, COLD SPRING HARBOR |
State: | NY |
Postal Code: | 117241318 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/16/2012 |
NPI Last Update Date: | 01/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | R056244-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |