Provider Demographics
NPI:1467613372
Name:JOANNE L BRAUN PH.D PC
Entity Type:Organization
Organization Name:JOANNE L BRAUN PH.D PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:630-305-7711
Mailing Address - Street 1:1045 MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7522
Mailing Address - Country:US
Mailing Address - Phone:630-305-7711
Mailing Address - Fax:630-922-9678
Practice Address - Street 1:1045 MAGNOLIA LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7522
Practice Address - Country:US
Practice Address - Phone:630-305-7711
Practice Address - Fax:630-922-9678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071004409101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty