Provider Demographics
NPI:1104096908
Name:YOSS-KAPLAN, RHONDA MAE (PSYD)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:MAE
Last Name:YOSS-KAPLAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 VANDERVENTER AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3757
Mailing Address - Country:US
Mailing Address - Phone:516-767-8180
Mailing Address - Fax:516-883-7622
Practice Address - Street 1:14 VANDERVENTER AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3737
Practice Address - Country:US
Practice Address - Phone:516-767-8180
Practice Address - Fax:516-883-7622
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011331103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent