Provider Demographics
NPI:1093149031
Name:KAPLAN, JOHANNA SARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHANNA
Middle Name:SARA
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PENNSYLVANIA AVE., SE
Mailing Address - Street 2:SUITE 509
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003
Mailing Address - Country:US
Mailing Address - Phone:202-768-6494
Mailing Address - Fax:
Practice Address - Street 1:209 PENNSYLVANIA AVE SE
Practice Address - Street 2:SUITE 509
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-1107
Practice Address - Country:US
Practice Address - Phone:202-768-6494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05061103TC0700X
DC1001034103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical