Provider Demographics
NPI:1760693709
Name:BRAWER, STEVEN (PHD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:BRAWER
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 1:766 E COLORADO BLVD
Mailing Address - Street 2:SUITE #203
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2195
Mailing Address - Country:US
Mailing Address - Phone:626-568-5651
Mailing Address - Fax:626-604-0332
Practice Address - Street 1:766 E COLORADO BLVD
Practice Address - Street 2:SUITE #203
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2195
Practice Address - Country:US
Practice Address - Phone:626-568-5651
Practice Address - Fax:626-604-0332
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 14710103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical