Provider Demographics
NPI:1740804558
Name:KAPLAN, PERI SARA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PERI
Middle Name:SARA
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7955 HIGHLAND BLF
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2559
Mailing Address - Country:US
Mailing Address - Phone:404-668-8835
Mailing Address - Fax:
Practice Address - Street 1:4651 ROSWELL RD STE F501
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3051
Practice Address - Country:US
Practice Address - Phone:404-668-8835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA00005841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist