1215227400 NPI number — MRS. LAURIE ANN WEISS-BRAUNSTEIN L.C.S.W.

Table of content: MRS. LAURIE ANN WEISS-BRAUNSTEIN L.C.S.W. (NPI 1215227400)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215227400 NPI number — MRS. LAURIE ANN WEISS-BRAUNSTEIN L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEISS-BRAUNSTEIN
Provider First Name:
LAURIE
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215227400
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10900 UNIVERSITY BLVD, BULL RUN HALL
Provider Second Line Business Mailing Address:
SUITE 147
Provider Business Mailing Address City Name:
MANASSAS
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20110-2201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-447-8056
Provider Business Mailing Address Fax Number:
703-993-8631

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10900 UNIVERSITY BLVD
Provider Second Line Business Practice Location Address:
BULL RUN HALL, SUITE 147
Provider Business Practice Location Address City Name:
MANASSAS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20110-2201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-447-8056
Provider Business Practice Location Address Fax Number:
703-993-8631
Provider Enumeration Date:
04/09/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  0904004475 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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