Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA LYNN DESTACHE, MSLP
Active Sole ProprietorBRENDA LYNN DESTACHE, MSLP is a Psychologist healthcare provider located in WOODBURY, Minnesota. NPI 1518132737 is currently active in the NPPES registry. Verify at CMS.
Psychologist · WOODBURY, MN
Registration Details
- NPI Number
- 1518132737
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2008 (18.264305853173 yrs)
- Last Updated
- Apr 29, 2008
- License
-
LP2836 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1976 WOODALE DRWOODBURY, MN, 55125Browse MN providers · Browse ZIP 55125
- Phone
- 6517308464
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| COLLEEN M DANIEWICZ | PSYD | 1033171145 |
| JEAN K HARLEY | LP | 1720183767 |
| CARLI BRAUN | PH.D., LP | 1144553835 |
| BETH M LUTZ | PSYD, LP | 1437488475 |
| LAURA ELIZABETH ACCOMANDO | PSY.D. | 1790015568 |
| YANCHY R LACSKA | MA, LP | 1518265057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.