Individual
MICHELLE BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3805B SPRING ST, SUITE 320, RACINE, WI 53405-1641
(262) 687-8322
Mailing address
400 W RIVER WOODS PKWY, 3RD FL, GLENDALE, WI 53212-1060
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2569
WI
103T00000X
Psychologist
2569
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-1264986
TAX ID
WI
Enumeration date
08/30/2006
Last updated
02/09/2016
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