Gary A Wallinga, PHD LP - Psychologist in Saint Cloud, MN

Gary A Wallinga, PHD LP is a Psychologist - Clinical Child & Adolescent based in Saint Cloud, Minnesota. Gary A Wallinga is licensed to practice in Minnesota (license number LP2053) and his current practice location is 1900 Centracare Cir, Suite 1325, Saint Cloud, Minnesota. He can be reached at his office (for appointments etc.) via phone at (320) 255-5796.

NPI number for Gary A Wallinga is 1043260110 and his current mailing address is 1406 6th Ave N, Saint Cloud, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043260110.

Contact Information

Gary A Wallinga, PHD LP
1900 Centracare Cir, Suite 1325,
Saint Cloud, MN 56303-5000
(320) 255-5796
(320) 229-5179

Map and Direction




Healthcare Provider's Profile

Full NameGary A Wallinga
GenderMale
SpecialityPsychologist - Clinical Child & Adolescent
Location1900 Centracare Cir, Saint Cloud, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043260110
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Gary A Wallinga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043260110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent LP2053 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary A Wallinga is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gary A Wallinga, PHD LP
1406 6th Ave N,
Saint Cloud, MN 56303-1900

Ph: (320) 251-2700
Gary A Wallinga, PHD LP
1900 Centracare Cir, Suite 1325,
Saint Cloud, MN 56303-5000

Ph: (320) 255-5796

Reviews and Comments


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