Provider Demographics
NPI:1003991456
Name:BREAUX, ANNA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA MARIE
Middle Name:
Last Name:BREAUX
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10124 DEER VIEW PT
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9001
Mailing Address - Country:US
Mailing Address - Phone:412-487-6444
Mailing Address - Fax:
Practice Address - Street 1:4284 WILLIAM FLYNN HWY
Practice Address - Street 2:SUITE 307
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1439
Practice Address - Country:US
Practice Address - Phone:412-487-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005236L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical