MEDICARE: DR. MICHAEL ALLAN KAPLAN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3956	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457449175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ALLAN KAPLAN PH.D.

Provider Business Mailing Address
First Line	:	3252 CALLE DE MOLINA
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-9261
Country	:	US
Telephone Number	:	505-995-0415
Fax Number	:	505-995-0415

Provider Business Practice Location Address
First Line	:	4001 OFFICE CT STE 305
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-4930
Country	:	US
Telephone Number	:	505-466-7710
Fax Number	:	505-466-7714

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. MICHAEL ALLAN KAPLAN PH.D.” Practice Location

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