Provider Demographics
NPI:1679795926
Name:FISCH-KAPLAN, RACHEL L (MS)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:L
Last Name:FISCH-KAPLAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1127
Mailing Address - Country:US
Mailing Address - Phone:973-420-6774
Mailing Address - Fax:908-273-5537
Practice Address - Street 1:57 UNION PL
Practice Address - Street 2:SUITE 315
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2568
Practice Address - Country:US
Practice Address - Phone:908-273-5537
Practice Address - Fax:908-273-5537
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008122-1235Z00000X
NJ41YS00281300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist