Provider Demographics
NPI:1154505683
Name:CHANG-KAPLAN, DORIS F (PHD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:F
Last Name:CHANG-KAPLAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DORIS
Other - Middle Name:F
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:80 5TH AVE
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8002
Mailing Address - Country:US
Mailing Address - Phone:212-229-5727
Mailing Address - Fax:212-989-0846
Practice Address - Street 1:80 5TH AVE
Practice Address - Street 2:ROOM 607
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8002
Practice Address - Country:US
Practice Address - Phone:212-229-5727
Practice Address - Fax:212-989-0846
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016520103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral