Individual
DR. S BERLIN BRAHNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3543 S LONE PINE AVE, SPRINGFIELD, MO 65804-4854
(417) 885-9171
Mailing address
4319 S NATIONAL AVE, #259, SPRINGFIELD, MO 65810-2607
(417) 885-9171
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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