Individual
PATRICIA JEAN BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(612) 870-2457
Mailing address
4324 ALDRICH AVE S, MINNEAPOLIS, MN 55409-1811
(612) 823-7539
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 3983
MN
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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