Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 05061 | MD |
N | 103TC0700X | Clinical Psychologist | 05061 | MD |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1001034 | DC |
NPI | 1093149031 |
---|---|
Provider Name | Dr. Johanna Sara Kaplan |
First Address | Washington, DC 20003 |
Second Address | Washington, DC 20003-1107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2013 |
Last Update Date | 07/09/2016 |