Provider Demographics
NPI:1477150035
Name:KAPLAN, LAURA JOY
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JOY
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 3RD AVE APT 29H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3942
Mailing Address - Country:US
Mailing Address - Phone:914-588-3063
Mailing Address - Fax:
Practice Address - Street 1:1619 3RD AVE APT 29H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3942
Practice Address - Country:US
Practice Address - Phone:914-588-3063
Practice Address - Fax:914-588-3063
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014101103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist