Healthcare Provider Details

I. General information

NPI: 1265511786
Provider Name (Legal Business Name): DEBORAH CAPLAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670-78 EAST 17TH STREET 3RD FL.
BROOKLYN NY
11229
US

IV. Provider business mailing address

477 FDR DR 606
NEW YORK NY
10002-2062
US

V. Phone/Fax

Practice location:
  • Phone: 718-375-1200
  • Fax: 718-382-3358
Mailing address:
  • Phone: 212-529-2309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: