Provider Demographics
NPI:1093742082
Name:CAPLAN, BRUCE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:
Last Name:CAPLAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 M.O.B. EAST
Mailing Address - Street 2:100 E. LANCASTER AVE.
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3436
Mailing Address - Country:US
Mailing Address - Phone:610-642-2353
Mailing Address - Fax:610-642-3278
Practice Address - Street 1:564 M.O.B. EAST
Practice Address - Street 2:100 E. LANCASTER AVE.
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3436
Practice Address - Country:US
Practice Address - Phone:610-642-2353
Practice Address - Fax:610-642-3278
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004569L103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist