Provider Demographics
NPI:1912039462
Name:KAPLAN, VICTORIA (PCC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1738
Mailing Address - Country:US
Mailing Address - Phone:330-812-3891
Mailing Address - Fax:330-375-2401
Practice Address - Street 1:177 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1738
Practice Address - Country:US
Practice Address - Phone:330-812-3891
Practice Address - Fax:330-375-2401
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002980101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional