Most Relevant Information
Provider Data
| NPI Number: | 1003001512 |
| Provider Name: | NANCY ALLANOFF BRAVEMAN PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PS016002 |
Most Important Dates
| Enumeration Date: | 09/07/2007 |
| Last Updated: | 09/04/2012 |
Provider Practice Location
34TH STREET & CIVIC CENTER BLVD
PHILADELPHIA
PA
19104
Practice Location Phone/Fax
| Phone: | 2155907555 |
| Fax: | 2155907387 |
Provider Mailing Location
3440 MARKET ST
SUITE 410
PHILADELPHIA
PA
191043325
Provider Mailing Phone/Fax
| Phone: | 2155907532 |
| Fax: | 2155904251 |