Provider Demographics
NPI:1871617753
Name:BRAUN, CARRIE ANN (BS)
Entity type:Individual
Prefix:MISS
First Name:CARRIE
Middle Name:ANN
Last Name:BRAUN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W NORTH AVE APT 803
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1272
Mailing Address - Country:US
Mailing Address - Phone:312-375-4242
Mailing Address - Fax:
Practice Address - Street 1:300 W NORTH AVE APT 803
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-1272
Practice Address - Country:US
Practice Address - Phone:312-375-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant