Jeremy D Braun in Woodbury - Speech-language Pathologist

Jeremy D Braun - NPI 1164521704

Jeremy D Braun is a Speech-language Pathologist in Woodbury, Minnesota. Jeremy D Braun practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jeremy D Braun is 1164521704. The last update date is 2007-07-08.

Jeremy D Braun's current location address is 8320 City Centre Dr, Woodbury, Minnesota. You can contact this provider via phone number 6517389888 and fax number 6517389889. The mailing address for Jeremy D Braun is 8320 City Centre Dr, Woodbury, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy D Braun
Address 8320 City Centre Dr, Woodbury, Minnesota
Phone Number 6517389888
Fax Number 6517389889
Sole Proprietor N
Credentials MA, CCC-SL

NPI Number Detail

NPI Number 1164521704
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8320 City Centre Dr
City Woodbury
State Minnesota (MN)
Post Code 551253382
Phone Number 6517389888
Fax Number 6517389889

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 7323
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1653423 MN AMERICA'S PPO
4600602 MN MEDICA / SELECT CARE
42565100 WI --
HP35637 MN HEALTH PARTNERS
093M4BR MN BCBS

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FAQs about Jeremy D Braun

What is the unique provider identifier assigned to Jeremy D Braun?

The Jeremy D Braun has been issued the NPI (National Provider Identifier) 1164521704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jeremy D Braun's facilities are situated?

The facilities of Jeremy D Braun are physically located at the following address: 8320 City Centre Dr, Woodbury, MN, 551253382.

What is Jeremy D Braun's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jeremy D Braun is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.

On what date did the Jeremy D Braun receive its 1164521704 assignment from the Centers for Medicare & Medicaid Services?

The Jeremy D Braun was assigned its 1164521704 by the Centers for Medicare & Medicaid Services on 2006-09-21.

As of what date were the details related to Jeremy D Braun most recently updated or revised?

The information pertaining to Jeremy D Braun, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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