Provider Demographics
NPI:1376676858
Name:BRAUN, MATTHEW JOHN (SLP)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:JOHN
Last Name:BRAUN
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Gender:M
Credentials:SLP
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Mailing Address - Street 1:2304 SW TRACKER LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-1435
Mailing Address - Country:US
Mailing Address - Phone:816-600-5696
Mailing Address - Fax:913-588-5916
Practice Address - Street 1:3901 RAINBOW BLVD., MAIL STOP 4003
Practice Address - Street 2:CENTER FOR CHILD HEALTH AND DEVELOPMENT
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-5588
Practice Address - Fax:913-588-5916
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2010-03-12
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Provider Licenses
StateLicense IDTaxonomies
KS25412080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics