Gary A Wallinga in Saint Cloud - Clinical Child & Adolescent
Gary A Wallinga - NPI 1043260110
Gary A Wallinga is a Clinical Child & Adolescent in Saint Cloud, Minnesota. Gary A Wallinga practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Gary A Wallinga is 1043260110. The last update date is 2007-07-08.
Gary A Wallinga's current location address is 1900 Centracare Cir, Saint Cloud, Minnesota. You can contact this provider via phone number 3202555796 and fax number 3202295179. The mailing address for Gary A Wallinga is 1900 Centracare Cir, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary A Wallinga |
|---|---|
| Address | 1900 Centracare Cir, Saint Cloud, Minnesota |
| Phone Number | 3202555796 |
| Fax Number | 3202295179 |
| Sole Proprietor | X |
| Credentials | PHD LP |
NPI Number Detail
| NPI Number | 1043260110 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1900 Centracare Cir |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 5630350000 |
| Phone Number | 3202555796 |
| Fax Number | 3202295179 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | LP2053 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code issued to Gary A Wallinga by the Centers for Medicare & Medicaid Services?
The Gary A Wallinga has been assigned the NPI (National Provider Identifier) 1043260110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Gary A Wallinga?
The Gary A Wallinga is physically situated at 1900 Centracare Cir, in the city of Saint Cloud, state of MN, with the postal code 5630350000.
What is Gary A Wallinga's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary A Wallinga is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did Gary A Wallinga receive its 1043260110 assignment from the Centers for Medicare & Medicaid Services?
The Gary A Wallinga was assigned its 1043260110 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Gary A Wallinga most recently updated or revised?
The details related to Gary A Wallinga, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.