Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN J GATHERIDGE, PHD
ActiveBRIAN J GATHERIDGE, PHD is a Psychologist healthcare provider located in DETROIT LAKES, Minnesota. NPI 1043465644 is currently active in the NPPES registry. Verify at CMS.
Psychologist · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1043465644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 24, 2008 (17.678548528768 yrs)
- Last Updated
- Apr 4, 2022
- License
-
LP4970 (MN)
Practice Information
- Address
-
1245 WASHINGTON AVEDETROIT LAKES, MN, 565013905Browse MN providers · Browse ZIP 56501
- Phone
- 2188462000
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JODI RAE BOERGER WILDER | LP | 1699744227 |
| SUSAN M. WELNEL | PHD | 1467697698 |
| DR. ELIZABETH EVENSON | PSY.D., LP | 1386967263 |
| DR. TESSIE BLAKE | PSY.D., L.P. | 1104183326 |
| DONALD H JANES | — | 1578940870 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.