GARY WALLINGA, PHD LP
Psychologist - Clinical Child & Adolescent
Active
Individual
NPI: 1043260110
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical Child & Adolescent | 103TC2200X | Yes | LP2053 (MN) |
Frequently Asked Questions
NPI 1043260110 is the National Provider Identifier for GARY WALLINGA, PHD LP, a Psychologist - Clinical Child & Adolescent provider located in Saint Cloud, MN. This NPI was enumerated on May 11, 2006.
GARY WALLINGA, PHD LP practices at 1900 CENTRACARE CIR, SUITE 1325, Saint Cloud, MN 56303.
Quick Facts
- NPI
- 1043260110
- Type
- Individual
- Enumerated
- May 11, 2006
- Last Updated
- Jul 8, 2007
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