Provider Demographics
NPI:1780829614
Name:KAPLAN, CAROL ANN (PSY D)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:CAROL
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:2 BRAYTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-6202
Mailing Address - Country:US
Mailing Address - Phone:973-535-1770
Mailing Address - Fax:973-992-3380
Practice Address - Street 1:2 BRAYTON RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-6202
Practice Address - Country:US
Practice Address - Phone:973-535-1770
Practice Address - Fax:973-992-3380
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100269000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ000621257Medicare UPIN