Provider Demographics
NPI:1700762119
Name:GUENDEL, BRANDON J (PSYD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:J
Last Name:GUENDEL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14201 W MAPLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-6821
Mailing Address - Country:US
Mailing Address - Phone:414-712-0630
Mailing Address - Fax:
Practice Address - Street 1:429 W UNCAS AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-6200
Practice Address - Country:US
Practice Address - Phone:414-499-4788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4088-57103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical