Basic Information
Provider Information
NPI: 1750412011
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAPLAN
FirstName: DANIEL
MiddleName: M.
NamePrefix:  
NameSuffix:  
Credential: MFT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1080 MARINA VILLAGE PKWY
Address2: SUITE 100
City: ALAMEDA
State: CA
PostalCode: 945016427
CountryCode: US
TelephoneNumber: 5107470527
FaxNumber: 5103377969
Practice Location
Address1: 1475 HUNTINGTON AVE
Address2:  
City: SOUTH SAN FRANCISCO
State: CA
PostalCode: 940805990
CountryCode: US
TelephoneNumber: 6502463829
FaxNumber: 6502463838
Other Information
ProviderEnumerationDate: 03/08/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000XMFC31287CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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