Provider Demographics
NPI:1679338289
Name:KAPLAN, PETER B (LPC)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:B
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 SOM CENTER RD APT 201
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3572
Mailing Address - Country:US
Mailing Address - Phone:216-399-3468
Mailing Address - Fax:
Practice Address - Street 1:920 SOM CENTER RD APT 201
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44143-3572
Practice Address - Country:US
Practice Address - Phone:216-399-3468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2305202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional