Individual
DR. BRENDA DIANE BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., ED.S., L.P.
Contact information
Practice address
18473 97TH PL N, MAPLE GROVE, MN 55311-1368
(763) 416-9310
Mailing address
18473 97TH PL N, MAPLE GROVE, MN 55311-1368
(763) 416-9310
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP4320
MN
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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