| NPI | 1750458899 |
|---|---|
| Other Name | SHELLY J BRANDL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP0466) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP0466) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MN LP0466) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN LP0466) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-11-17 |