Provider Demographics
NPI:1932406345
Name:BRAUN, KAREN CAMERON (MSPA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:CAMERON
Last Name:BRAUN
Suffix:
Gender:F
Credentials:MSPA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 MCGRAW CIR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-3984
Mailing Address - Country:US
Mailing Address - Phone:970-690-5142
Mailing Address - Fax:
Practice Address - Street 1:725 MCGRAW CIR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-3984
Practice Address - Country:US
Practice Address - Phone:970-690-5142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00955591235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist