Brian J Gatheridge, PHD
Brian J Gatheridge, PHD is a Clinical Psychologist in Detroit Lakes, Minnesota. Qualified in 2007, 19 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 19
- Licensed in
- MN
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PHD — Doctor of Philosophy
- A research doctorate. In healthcare it usually sits alongside a clinical licence.
Practice location Address checks out
1245 Washington AveDetroit Lakes, MN 56501-3905
Phone: (218) 846-2000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence LP4970 (MN) |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
Record details
| NPI number | 1043465644 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHD |
| Sole proprietor | No |
| NPI enumerated | November 24, 2008 |
| Last updated in NPPES | April 4, 2022 |
| Certification date | April 4, 2022 |
| Mailing address | 1219 S. Washington Ave, Detroit Lakes, MN 56501-3905 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Sanford Medical Center Fargo — 1212 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |