Provider Demographics
NPI:1649334640
Name:KAPLAN, LAUREN (EDD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 FEDERAL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2546
Mailing Address - Country:US
Mailing Address - Phone:413-774-7546
Mailing Address - Fax:
Practice Address - Street 1:55 FEDERAL ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2546
Practice Address - Country:US
Practice Address - Phone:413-774-7546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3751103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
W03797OtherBCBS OUT OF STATE
MA010132OtherVALUE OPTIONS
MA25318OtherHEALTH NEW ENGLAND
MAW03797OtherBLUE CROSS BLUE SHIELD
MAW03797Medicare ID - Type Unspecified