Provider Demographics
NPI:1669666301
Name:HOLLANDER KAPLAN, LAURA H (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:H
Last Name:HOLLANDER KAPLAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:H
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:17 BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-8202
Mailing Address - Country:US
Mailing Address - Phone:203-878-7619
Mailing Address - Fax:
Practice Address - Street 1:295 WASHINGTON AVE
Practice Address - Street 2:SUITE 5N
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3025
Practice Address - Country:US
Practice Address - Phone:203-878-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0064971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT006497OtherCT MEDICAL LICENSE