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Individual
KOENRAAD VAN BRAECKEL
Active
Individual
KOENRAAD VAN BRAECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY31225
CA
103TC0700X
Clinical Psychologist
072303
IA
103TC0700X
Clinical Psychologist
Primary
31225
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2014
Last updated
08/12/2026
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