Individual
DR. DENNIS M. BREKKE
Active
Individual
DR. DENNIS M. BREKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1738
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01992BR
BCBS PROVIDER NUMBER
MN
01
—
1H217BR
BCBS PROVIDER NUMBER
MN
05
—
546347500
—
MN
Enumeration date
09/15/2006
Last updated
12/19/2012
Update your record
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