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NPI Code Detail

MEDICARE: DR. DANIEL BRAMAN PSY.D.

MEDICARE: DR. DANIEL BRAMAN 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
1103TC0700XClinical Psychologist35SI00585700NJ
2103TC0700XClinical Psychologist20043231AIN
3103TC0700XClinical PsychologistPY9902FL

General Provider Information

NPI Number : 1639691124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL BRAMAN PSY.D.
Provider Business Mailing Address
First Line : 3910 CAUGHEY RD STE 200
Second Line :
City : ERIE
State : PA
Zip : 16506-4098
Country : US
Telephone Number : 407-413-8169
Fax Number :
Provider Business Practice Location Address
First Line : 3910 CAUGHEY RD STE 200
Second Line :
City : ERIE
State : PA
Zip : 16506-4098
Country : US
Telephone Number : 407-413-8169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2017
Last Update Date : 12/18/2023

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