Destache, Brenda Lynn

Destache, Brenda Lynn is an sole proprietor health care provider with primary practice located at 1976 Woodale Dr , Woodbury MN 55125. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Destache, Brenda Lynn can be contacted via phone (651) 730-8464.

Contact Information

Primary practice address
1976 Woodale Dr Woodbury MN 55125
Phone: (651) 730-8464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2836 Minnesota

Profile Details

NPI number 1518132737
LBN Legal business name Destache, Brenda Lynn
Credentials MSLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 16 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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