Provider Demographics
NPI:1114324662
Name:KAPLAN, KATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
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:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-0268
Mailing Address - Country:US
Mailing Address - Phone:650-200-0131
Mailing Address - Fax:
Practice Address - Street 1:899 SANTA CRUZ AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4642
Practice Address - Country:US
Practice Address - Phone:650-200-0131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-28
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26761103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral