Provider Demographics
NPI:1962657635
Name:KAPLAN, MARA STACY (SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:MARA
Middle Name:STACY
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:MARA
Other - Middle Name:STACY
Other - Last Name:BRESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1051 ADRIENNE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1707
Mailing Address - Country:US
Mailing Address - Phone:516-647-0229
Mailing Address - Fax:
Practice Address - Street 1:1051 ADRIENNE DR
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1707
Practice Address - Country:US
Practice Address - Phone:516-647-0229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-23
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013471-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist