Individual
DR. KEVIN BRAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, PSYCHOLOGY SERVICE (116B), BOSTON, MA 02130-4817
(857) 364-6519
Mailing address
150 S HUNTINGTON AVE, PSYCHOLOGY SERVICE (116B), BOSTON, MA 02130-4817
(857) 364-6519
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
706
LA
261QV0200X
VA Clinic/Center
706
LA
Other
Enumeration date
09/25/2006
Last updated
04/02/2017
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