Individual
MATTHEW BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13609 CALIFORNIA ST STE 200, OMAHA, NE 68154-5245
(928) 607-5758
Mailing address
812 S HEMLOCK AVE, PRESCOTT, AZ 86303-5183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP 2610
CO
235Z00000X
Speech-Language Pathologist
SLP 2986
ID
235Z00000X
Speech-Language Pathologist
Primary
SLP 8259
AZ
235Z00000X
Speech-Language Pathologist
SLP-SP-LIC 5490
MT
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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