Branaman, Tim
Branaman, Tim is an individual health care provider with primary practice located at 600 W Campbell Rd Ste 2 , Richardson TX 75080-3357. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Branaman, Tim can be contacted via phone (972) 669-1266.Contact Information
Primary practice address
600 W Campbell Rd Ste 2
Richardson TX 75080-3357
Phone: (972) 669-1266
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 22443 | Texas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1143 | Texas |
Profile Details
| NPI number | 1932111747 |
|---|---|
| LBN Legal business name | Branaman, Tim |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932111747 | NPPES |
| Texas | Other | 86616A | BLUE CROSS |
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