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Organization

RAYMOND BRAUNSTEIN PH.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND BRAUNSTEIN PH.D. (OWNER/PSYCHOLOGIST)
(215) 659-7501
Entity
Organization

Contact information

Practice address
415 DAVISVILLE RD, WILLOW GROVE, PA 19090-2700
(215) 659-7501
(215) 322-1596
Mailing address
415 DAVISVILLE RD, WILLOW GROVE, PA 19090-2700
(215) 659-7501
(215) 322-1596

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002272L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2363571000
INDEPENDENCE BLUE CROSS
PA
01
4594800
AETNA
PA
01
J27127
AMERIHEALTH
PA
Enumeration date
03/17/2006
Last updated
08/22/2020
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