Provider Demographics
NPI:1427369727
Name:KAPLAN, DIANE L (AUD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:L
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6002 PROFESSIONAL PKWY
Mailing Address - Street 2:100
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-5600
Mailing Address - Country:US
Mailing Address - Phone:770-949-4200
Mailing Address - Fax:
Practice Address - Street 1:6002 PROFESSIONAL PKWY
Practice Address - Street 2:100
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-5600
Practice Address - Country:US
Practice Address - Phone:770-949-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003838231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist