Healthcare Provider Details

I. General information

NPI: 1891871976
Provider Name (Legal Business Name): BARBARA BRAUN-MCDONALD RNCS,LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3937 MAIN ST
BREWSTER MA
02631-1592
US

IV. Provider business mailing address

PO BOX 1349
EASTHAM MA
02642-1349
US

V. Phone/Fax

Practice location:
  • Phone: 508-240-0092
  • Fax: 508-255-1311
Mailing address:
  • Phone: 508-240-0092
  • Fax: 508-255-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number78
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number126593
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: