MEDICARE: DEANNA BRAUER MA, PLPC

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	101Y00000X	Counselor	2010023571	MO

General Provider Information

NPI Number	:	1629384151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA BRAUER MA, PLPC

Provider Business Mailing Address
First Line	:	4131 N MULBERRY DR
Second Line	:	SUITE NUMBER 245
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1638
Country	:	US
Telephone Number	:	913-956-8779
Fax Number	:

Provider Business Practice Location Address
First Line	:	4131 N MULBERRY DR
Second Line	:	SUITE NUMBER 245
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1638
Country	:	US
Telephone Number	:	913-956-8779
Fax Number	:

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

Provider Enumeration Date	:	08/21/2010
Last Update Date	:	08/21/2010

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