Gary A Wallinga, PHD LP
NPI #1043260110 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1043260110
- Entity Type
- Individual
- Name
- Gary A Wallinga, PHD LP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Credential
- PHD LP
- Enumeration Date
- May 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1900 CENTRACARE CIR
- Address 2
- SUITE 1325
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303-5000
- Phone
- (320) 255-5796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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