Provider Demographics
NPI:1962671156
Name:BRAUN, JANE ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:ANNE
Last Name:BRAUN
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 1:8417 CRESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2011
Mailing Address - Country:US
Mailing Address - Phone:219-838-3235
Mailing Address - Fax:
Practice Address - Street 1:20635 ABBEY WOODS CT N STE 303
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-3191
Practice Address - Country:US
Practice Address - Phone:708-372-7286
Practice Address - Fax:219-301-7159
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007169103TC0700X, 103G00000X, 101YP1600X, 103TA0400X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling