Individual provider · Type 1 NPI

Brian J. Gatheridge, PhD

Psychologist · Detroit Lakes, MN

NPI number 1043465644 Active

Practice location

1245 Washington Ave
Detroit Lakes, MN 56501-3905

Call (218) 846-2000 Map

Mailing address

1219 S. Washington Ave
Detroit Lakes, MN 56501-3905

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Psychologist Primary 103T00000XLP4970 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1043465644

Brian J. Gatheridge, PhD's National Provider Identifier is 1043465644, issued on Nov 24, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Apr 4, 2022.