MEDICARE: DR. RAYMOND EDWARD BRANTON PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	3719	AZ
2	103TC0700X	Clinical Psychologist	3719	AZ
3	103TC1900X	Counseling Psychologist	3719	AZ
4	103TC2200X	Clinical Child & Adolescent Psychologist	3719	AZ
5	103TB0200X	Cognitive & Behavioral Psychologist	3719	AZ
6	103TA0400X	Addiction (Substance Use Disorder) Psychologist	3719	AZ
7	103TF0000X	Family Psychologist	3719	AZ

General Provider Information

NPI Number	:	1588745897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND EDWARD BRANTON PSY.D.

Provider Business Mailing Address
First Line	:	6415 S HAZELTON LN
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-3241
Country	:	US
Telephone Number	:	480-688-4297
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 S ALMA SCHOOL RD
Second Line	:	SUITE 112
City	:	MESA
State	:	AZ
Zip	:	85210-3056
Country	:	US
Telephone Number	:	480-730-6222
Fax Number	:	480-730-5929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	09/11/2025

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