Provider Demographics
NPI:1316007842
Name:BRAUNSTEIN, ALAN LEONARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEONARD
Last Name:BRAUNSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9733 NW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5879
Mailing Address - Country:US
Mailing Address - Phone:954-648-1483
Mailing Address - Fax:954-340-0741
Practice Address - Street 1:9733 NW 18TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-5879
Practice Address - Country:US
Practice Address - Phone:954-648-1483
Practice Address - Fax:954-340-0741
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3984103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73575Medicare ID - Type Unspecified