Doctor Name: | MR. AUSTIN DOUGLAS SOLOMONS |
NPI Number: | 1649525338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 52973 |
Business Practice Address: | 82 Medical Group 149 Hart Street Sheppard Afb, TX - 76311 |
Business Phone Number: | 9406763895 |
Business Fax Number: | |
Mailing Address: | 2621 Fairway Dr, WICHITA FALLS |
State: | TX |
Postal Code: | 763016111 |
Phone Number: | 5805041179 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2012 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 52973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |