Provider Demographics
NPI:1588276315
Name:BRAUNEWELL, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BRAUNEWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 GOULD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM HEIGHTS
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2300
Mailing Address - Country:US
Mailing Address - Phone:781-559-4900
Mailing Address - Fax:
Practice Address - Street 1:160 GOULD ST STE 300
Practice Address - Street 2:
Practice Address - City:NEEDHAM HEIGHTS
Practice Address - State:MA
Practice Address - Zip Code:02494-2300
Practice Address - Country:US
Practice Address - Phone:781-559-4900
Practice Address - Fax:781-559-4901
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health