Provider Demographics
NPI:1699894949
Name:BRAUN, DEVRA LYNN (M D)
Entity type:Individual
Prefix:
First Name:DEVRA
Middle Name:LYNN
Last Name:BRAUN
Suffix:
Gender:F
Credentials:M D
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Other - Credentials:
Mailing Address - Street 1:360 W PUTNAM AVE
Mailing Address - Street 2:INTEGRATIVE MEDICINE AND PSYCHOTHERAPY OF GREENWICH LLC
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5233
Mailing Address - Country:US
Mailing Address - Phone:203-622-2394
Mailing Address - Fax:203-622-2396
Practice Address - Street 1:360 W PUTNAM AVE
Practice Address - Street 2:INTEGRATIVE MEDICINE AND PSYCHOTHERAPY OF GREENWICH LLC
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5233
Practice Address - Country:US
Practice Address - Phone:203-622-2394
Practice Address - Fax:203-622-2396
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CT0353182084P0800X
NY1710492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F36071Medicare UPIN