MEDICARE: WENDY ANN CAPLIN 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	103TC1900X	Counseling Psychologist	PS005962L	PA

General Provider Information

NPI Number	:	1780656140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY ANN CAPLIN PH.D.

Provider Business Mailing Address
First Line	:	436 E DURHAM ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1222
Country	:	US
Telephone Number	:	215-248-9446
Fax Number	:	215-248-3704

Provider Business Practice Location Address
First Line	:	436 E DURHAM ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1222
Country	:	US
Telephone Number	:	215-248-9446
Fax Number	:	215-248-3704

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	02/20/2012

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