Provider Demographics
NPI:1629384151
Name:BRAUER, DEANNA (MA, PLPC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:BRAUER
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4131 N MULBERRY DR
Mailing Address - Street 2:SUITE NUMBER 245
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-1638
Mailing Address - Country:US
Mailing Address - Phone:913-956-8779
Mailing Address - Fax:
Practice Address - Street 1:4131 N MULBERRY DR
Practice Address - Street 2:SUITE NUMBER 245
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-1638
Practice Address - Country:US
Practice Address - Phone:913-956-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-21
Last Update Date:2010-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010023571101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor