Healthcare Provider Details

I. General information

NPI: 1487793196
Provider Name (Legal Business Name): DEBRA CAPLAN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 01/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 S FREDERICK AVE SUITE 213
GAITHERSBURG MD
20877-1275
US

IV. Provider business mailing address

604 S FREDERICK AVE SUITE 213
GAITHERSBURG MD
20877-1275
US

V. Phone/Fax

Practice location:
  • Phone: 240-498-7448
  • Fax:
Mailing address:
  • Phone: 240-498-7448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC1366
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: