Provider Demographics
NPI:1902605991
Name:MONTRENES, JOSHUA (PHD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:MONTRENES
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 BROADWAY ST NE
Mailing Address - Street 2:SUITE 225 #336
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-3081
Mailing Address - Country:US
Mailing Address - Phone:412-224-9639
Mailing Address - Fax:
Practice Address - Street 1:2112 BROADWAY ST NE
Practice Address - Street 2:SUITE 225 #336
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-3081
Practice Address - Country:US
Practice Address - Phone:412-224-9639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP7130103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical