Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Willie Bernard Garrett, MS-LP, EDD

Individual provider Psychologist · NPI 1780691592

Dr. Willie Bernard Garrett, MS-LP, EDD is a Clinical Psychologist in Saint Paul, Minnesota. Qualified in 2002, 24 years ago. Practices with Vinland National Center, a 7-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

1600 University Ave W Ste 505
Saint Paul, MN 55104-3825
Phone: (651) 645-0980
Fax: (651) 645-3534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP1234 (MN)

Record details

NPI number1780691592
Entity typeIndividual (Type 1)
GenderMale
Credentials MS-LP , EDD
Sole proprietorYes
NPI enumeratedAugust 2, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Vinland National Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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