Gary A Wallinga
Clinical Child & Adolescent Psychologist
1900 Centracare Cir Suite 1325
Saint Cloud
, Minnesota 56303-5000
Gary A Wallinga
Clinical Child & Adolescent Psychologist
1900 Centracare Cir Suite 1325
Saint Cloud
, Minnesota 56303-5000
(320) 656-7026
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Gary A Wallinga
- 1406 6th Ave N
- Saint Cloud, MN
- Zip : 56303-1900
- Fax : (320) 656-7026
- Phone : (320) 251-2700
Second Address
- Gary A Wallinga
- 1900 Centracare Cir Suite 1325
- Saint Cloud, MN
- Zip : 56303-5000
- Fax : (320) 229-5179
- Phone : (320) 255-5796
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | LP2053 | MN |
National Provider Identifier
| NPI | 1043260110 |
|---|---|
| Provider Name | Gary A Wallinga |
| First Address | Saint Cloud, MN 56303-1900 |
| Second Address | Saint Cloud, MN 56303-5000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.