MEDICARE: DR. ASHLEY KAPLAN PSY.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	103TC0700X	Clinical Psychologist	0810005282	VA

General Provider Information

NPI Number	:	1710343454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY KAPLAN PSY.D.

Provider Business Mailing Address
First Line	:	900 N STUART ST
Second Line	:	APT 316
City	:	ARLINGTON
State	:	VA
Zip	:	22203-4101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8381 OLD COURTHOUSE RD
Second Line	:	SUITE 330
City	:	VIENNA
State	:	VA
Zip	:	22182-3818
Country	:	US
Telephone Number	:	703-938-9090
Fax Number	:

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

Provider Enumeration Date	:	01/11/2016
Last Update Date	:	01/11/2016

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