Healthcare Provider Details

I. General information

NPI: 1932042934
Provider Name (Legal Business Name): CAMERON WAYNE BRAUN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 SCOTT ST FL 3
SAN FRANCISCO CA
94115-3510
US

IV. Provider business mailing address

4930 FULTON ST APT 104
SAN FRANCISCO CA
94121-3652
US

V. Phone/Fax

Practice location:
  • Phone: 415-238-9621
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: