Individual
DR. DANA BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
2020 E 28TH ST, UFP SMILEY'S CLINIC, MINNEAPOLIS, MN 55407-1394
(612) 333-0770
(612) 333-1986
Mailing address
2020 E 28TH ST, UFP SMILEY'S CLINIC, MINNEAPOLIS, MN 55407-1394
(612) 333-0770
(612) 333-1986
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 4535
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042740
PREFERRED ONE
MN
01
—
113221
UCARE
MN
01
—
175R2BR
BCBS
MN
01
—
2280059
ARAZ
MN
05
—
577460800
—
MN
01
—
61-53755
UBH
MN
01
—
615T1BR
BCBS SMILEY'S
MN
01
—
A049
CHAMPUS
MN
01
—
HP48442
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
07/14/2010
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