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NPI Code Detail

MEDICARE: BRENDA JOSEPH MA

MEDICARE: BRENDA JOSEPH MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1881614303
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA JOSEPH MA
Provider Business Mailing Address
First Line : 200 4TH AVE W
Second Line : GOVERNMENT CENTER RM 300
City : SHAKOPEE
State : MN
Zip : 55379-1220
Country : US
Telephone Number : 952-496-8617
Fax Number : 952-496-8355
Provider Business Practice Location Address
First Line : 621 W LAKE ST STE 350
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2952
Country : US
Telephone Number : 612-979-2276
Fax Number : 651-925-0427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 02/23/2026

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Directions to “ BRENDA JOSEPH MA” Practice Location

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