Provider Demographics
NPI:1962671156
Name:BRAUN, JANE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ANNE
Last Name:BRAUN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8417 CRESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2011
Mailing Address - Country:US
Mailing Address - Phone:219-838-3235
Mailing Address - Fax:
Practice Address - Street 1:7804 W COLLEGE DR STE 2NE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1285
Practice Address - Country:US
Practice Address - Phone:708-372-7286
Practice Address - Fax:847-240-0446
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007169103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist