Provider Demographics
NPI:1093018772
Name:KAPLAN, JUDY J (LSW)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:J
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 WARDEN WAY
Mailing Address - Street 2:FORT WASHINGTON
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2831
Mailing Address - Country:US
Mailing Address - Phone:215-628-9086
Mailing Address - Fax:
Practice Address - Street 1:1208 WARDEN WAY
Practice Address - Street 2:FORT WASHINGTON
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2831
Practice Address - Country:US
Practice Address - Phone:215-628-9086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW009708L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health