Provider Demographics
NPI:1306086913
Name:ALAN L. BRAUNSTEIN, PH.D., P.A.
Entity type:Organization
Organization Name:ALAN L. BRAUNSTEIN, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:BRAUNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:954-753-9404
Mailing Address - Street 1:475 RAMBLEWOOD DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7195
Mailing Address - Country:US
Mailing Address - Phone:954-753-9404
Mailing Address - Fax:954-340-0741
Practice Address - Street 1:475 RAMBLEWOOD DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7195
Practice Address - Country:US
Practice Address - Phone:954-753-9404
Practice Address - Fax:954-340-0741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3984103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73575Medicare UPIN