Healthcare Provider Details

I. General information

NPI: 1598721037
Provider Name (Legal Business Name): JUDITH E. KAPLAN, MD, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2271 NE 51ST ST
SEATTLE WA
98105-5713
US

IV. Provider business mailing address

2271 NE 51ST ST
SEATTLE WA
98105-5713
US

V. Phone/Fax

Practice location:
  • Phone: 206-522-8553
  • Fax: 206-522-7815
Mailing address:
  • Phone: 206-522-8553
  • Fax: 206-522-7815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00022315
License Number StateWA

VIII. Authorized Official

Name: DR. JUDITH ELINOR KAPLAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 206-522-8553