Provider Demographics
NPI:1285725044
Name:BRAUN, JOSEPH ADAMS (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ADAMS
Last Name:BRAUN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07656-1821
Mailing Address - Country:US
Mailing Address - Phone:201-573-0739
Mailing Address - Fax:
Practice Address - Street 1:6 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07656-1821
Practice Address - Country:US
Practice Address - Phone:201-573-0739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00097600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical