Individual
ELYSE JILL KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1816 BOLTON ST, BALTIMORE, MD 21217-4411
(410) 878-0945
Mailing address
1816 BOLTON ST, BALTIMORE, MD 21217-4411
(410) 878-0945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
04235
MD
103TC0700X
Clinical Psychologist
Primary
0810003718
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132190100
—
MD
Enumeration date
12/01/2006
Last updated
03/02/2011
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