Provider Demographics
NPI:1437190691
Name:KAPLAN, ALLEN (MFT)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 1ST ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-3215
Mailing Address - Country:US
Mailing Address - Phone:707-745-8906
Mailing Address - Fax:707-751-1958
Practice Address - Street 1:1021 1ST ST
Practice Address - Street 2:SUITE 5
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3215
Practice Address - Country:US
Practice Address - Phone:707-745-8906
Practice Address - Fax:707-751-1958
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31755106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist