| Ali Kaplan Phd, Llc | |
|
36 Bazeberry Rd Cordova TN 38018-7754 | |
| (901) 758-0036 | |
| (865) 246-2106 |
| Full Name | Ali Kaplan Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 36 Bazeberry Rd, Cordova, Tennessee |
| Authorized Official Name and Position | Ali Michelle Kaplan (OWNER) |
| Authorized Official Contact | 8652462104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Kaplan Phd, Llc Po Box 5777 Maryville TN 37802-5777 Ph: (865) 246-2104 | Ali Kaplan Phd, Llc 36 Bazeberry Rd Cordova TN 38018-7754 Ph: (901) 758-0036 |
| NPI Number | 1366938532 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Medicare PECOS PAC ID | 3779832803 |
|---|---|
| Medicare Enrollment ID | O20180822001177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366938532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3290 (Tennessee) | Primary |
| Provider Name | Ali Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396059473 PECOS PAC ID: 8325290414 Enrollment ID: I20151109001996 |
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