Doctor Name: | ANGELA BRAMANDE |
NPI Number: | 1518363837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5512 |
Business Practice Address: | 157 Twin Oaks Dr Raceland, LA - 703942761 |
Business Phone Number: | 9855376823 |
Business Fax Number: | 9855375519 |
Mailing Address: | 157 Twin Oaks Dr, RACELAND |
State: | LA |
Postal Code: | 703942761 |
Phone Number: | 9855376823 |
Fax Number: | 9855375519 |
NPI Enumeration Date: | 11/13/2014 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |