Provider Demographics
NPI:1376637835
Name:KAPLAN, WARREN H (PHD)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:H
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 CREEKSTONE RDG
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3739
Mailing Address - Country:US
Mailing Address - Phone:762-261-0946
Mailing Address - Fax:478-215-8873
Practice Address - Street 1:324 CREEKSTONE RDG
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3739
Practice Address - Country:US
Practice Address - Phone:762-261-0946
Practice Address - Fax:478-215-8873
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1454103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00419603AMedicaid
GA52254736 001OtherBLUE CROSS BLUE SHIELD
GA00419603AMedicaid