Provider Demographics
NPI:1679679633
Name:BRENDEN, HERBERT ALLEN (EDD LP)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:ALLEN
Last Name:BRENDEN
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Gender:M
Credentials:EDD LP
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Mailing Address - Street 1:2497 7TH AVE E
Mailing Address - Street 2:SUITE 101 BHSI LLC
Mailing Address - City:NORTH SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2496
Mailing Address - Country:US
Mailing Address - Phone:651-769-6437
Mailing Address - Fax:651-769-6426
Practice Address - Street 1:8085 WAYZATA BLVD
Practice Address - Street 2:SUITE 101 BHSI LLC
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55426-1456
Practice Address - Country:US
Practice Address - Phone:651-769-6300
Practice Address - Fax:651-769-6349
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNLP1200103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical