Doctor Name: | PATRICIA EDITH KAPLAN |
NPI Number: | 1942495007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, CADC |
License Number: | CAC4125 |
Business Practice Address: | 15 Mid Coast Dr Belfast, ME - 049156079 |
Business Phone Number: | 2073382295 |
Business Fax Number: | 2073382388 |
Mailing Address: | 78 Atlantic Pl, SOUTH PORTLAND |
State: | ME |
Postal Code: | 041062316 |
Phone Number: | 2076616654 |
Fax Number: | 2078427773 |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAC4125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |