Provider Demographics
NPI:1275864894
Name:BARON, JUDITH KAPLAN (MFCC)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:KAPLAN
Last Name:BARON
Suffix:
Gender:F
Credentials:MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6046 CORNERSTONE CT W STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-4734
Mailing Address - Country:US
Mailing Address - Phone:858-558-7400
Mailing Address - Fax:858-481-8829
Practice Address - Street 1:6046 CORNERSTONE CT W STE 208
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4734
Practice Address - Country:US
Practice Address - Phone:858-558-7400
Practice Address - Fax:858-481-8829
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAML24327106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist