Provider Demographics
NPI:1063250983
Name:BRANDAU HYNEK, ANN (PHD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:BRANDAU HYNEK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 7TH ST N
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-3368
Mailing Address - Country:US
Mailing Address - Phone:608-785-9899
Mailing Address - Fax:
Practice Address - Street 1:400 7TH ST N
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-3368
Practice Address - Country:US
Practice Address - Phone:608-785-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool