| Doctor Name: | NANCY ALLANOFF BRAVEMAN |
| NPI Number: | 1003001512 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PS016002 |
| Business Practice Address: | 34th Street & Civic Center Blvd Philadelphia, PA - 19104 |
| Business Phone Number: | 2155907555 |
| Business Fax Number: | 2155907387 |
| Mailing Address: | 3440 Market St, Suite 410 PHILADELPHIA |
| State: | PA |
| Postal Code: | 191043325 |
| Phone Number: | 2155907532 |
| Fax Number: | 2155904251 |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 09/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS016002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |