Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary A Wallinga, PHDLP

Individual provider Clinical Child & Adolescent Psychologist · NPI 1043260110

Gary A Wallinga, PHDLP is a Clinical Child & Adolescent Psychologist in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

1900 Centracare Cir Ste 1325
Saint Cloud, MN 56303-5000
Phone: (320) 255-5796
Fax: (320) 229-5179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence LP2053 (MN)

Record details

NPI number1043260110
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDLP
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1406 6th Ave N, Saint Cloud, MN 56303-1900

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