Provider Demographics
NPI:1780899070
Name:BRAUTMAN, DEBORAH (MFT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:BRAUTMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4288 ENSENADA DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-5404
Mailing Address - Country:US
Mailing Address - Phone:818-883-8101
Mailing Address - Fax:818-883-8101
Practice Address - Street 1:22231 MULHOLLAND HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-5123
Practice Address - Country:US
Practice Address - Phone:818-883-8101
Practice Address - Fax:818-883-8101
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37376106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist