Provider Demographics
NPI:1093471591
Name:KAPLAN, LINA
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:KAPLAN
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 1:14 BNEI MOSHE ST., #13
Mailing Address - Street 2:
Mailing Address - City:TEL AVIV
Mailing Address - State:TEL AVIV
Mailing Address - Zip Code:62308
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14 BNEI MOSHE ST., #13
Practice Address - Street 2:
Practice Address - City:TEL AVIV
Practice Address - State:TEL AVIV
Practice Address - Zip Code:62308
Practice Address - Country:IL
Practice Address - Phone:310-985-4106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14157103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty