Individual
MR. ALEX BRAITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
10861 LEXINGTON DR, INDIANAPOLIS, IN 46280-1158
(317) 204-2741
Mailing address
10861 LEXINGTON DR, INDIANAPOLIS, IN 46280-1158
(317) 204-2741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39001478A
IN
103T00000X
Psychologist
6301003179
MI
Other
Enumeration date
10/17/2006
Last updated
04/20/2010
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