Brandl, Rochelle J

Brandl, Rochelle J is an individual health care provider with primary practice located at 6120 Earle Brown Dr Suite 520, Brooklyn Center MN 55430-2123. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Brandl, Rochelle J can be contacted via phone (763) 531-0566.

Contact Information

Primary practice address
6120 Earle Brown Dr Suite 520 Brooklyn Center MN 55430-2123
Phone: (763) 531-0566
Fax: (763) 531-0602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0466 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP0466 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X LP0466 Minnesota
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LP0466 Minnesota

Profile Details

NPI number 1750458899
LBN Legal business name Brandl, Rochelle J
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Nov 17th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750458899 NPPES
Minnesota MEDICAID 096547200

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