Soldevilla, Carol

Soldevilla, Carol is an sole proprietor health care provider with primary practice located at 4 S Spooner St , Plymouth MA 02360-4447. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Soldevilla, Carol can be contacted via phone (508) 617-0070.

Contact Information

Primary practice address
4 S Spooner St Plymouth MA 02360-4447
Phone: (508) 617-0070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 115897 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 115897 Massachusetts

Profile Details

NPI number 1104191501
LBN Legal business name Soldevilla, Carol
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2012
Last updated Jan 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104191501 NPPES
Massachusetts MEDICAID 046002284

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