Provider Demographics
NPI:1558672501
Name:BRAUN, CHRISTINE L (MS)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:L
Last Name:BRAUN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1759 W BROADWAY ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8128
Mailing Address - Country:US
Mailing Address - Phone:407-977-4335
Mailing Address - Fax:407-977-4370
Practice Address - Street 1:1759 W BROADWAY ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8128
Practice Address - Country:US
Practice Address - Phone:407-977-4335
Practice Address - Fax:407-977-4370
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 8220101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health