NPI 1043260110

Gary a Wallinga, PHDLP

Practitioner Clinical Child & Adolescent Psychologist Saint Cloud, MN

Practice location

Address: 1900 Centracare Cir Suite 1325, Saint Cloud, MN 56303-5000
Phone: (320) 255-5796
Fax: (320) 229-5179
Mailing address: 1406 6th Ave N, Saint Cloud, MN 56303-1900

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence LP2053 (MN)

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Registry record

NPI: 1043260110
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.