Provider Demographics
NPI:1366328452
Name:SOLLEY, WILHEMINA
Entity type:Individual
Prefix:
First Name:WILHEMINA
Middle Name:
Last Name:SOLLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7997 FOX SQUIRREL WAY
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7083
Mailing Address - Country:US
Mailing Address - Phone:202-427-4400
Mailing Address - Fax:410-630-7784
Practice Address - Street 1:7997 FOX SQUIRREL WAY
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7083
Practice Address - Country:US
Practice Address - Phone:202-427-4400
Practice Address - Fax:410-630-7784
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-24-352854106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician