Healthcare Provider Details

I. General information

NPI: 1659429942
Provider Name (Legal Business Name): A BETTER LIFE THROUGH PSYCHOLOGICAL SERVICES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 ANNANDALE DR
COMMACK NY
11725-1745
US

IV. Provider business mailing address

40 ANNANDALE DR
COMMACK NY
11725-1745
US

V. Phone/Fax

Practice location:
  • Phone: 631-544-4825
  • Fax: 631-544-4825
Mailing address:
  • Phone: 631-544-4825
  • Fax: 631-544-4825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8601-1
License Number StateNY

VIII. Authorized Official

Name: DR. ALAN DAVID KAPLAN
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 631-544-4825