Gatheridge, Brian J

Gatheridge, Brian J is an individual health care provider with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501-3905. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gatheridge, Brian J can be contacted via phone (218) 846-2000.

Contact Information

Primary practice address
1245 Washington Ave Detroit Lakes MN 56501-3905
Phone: (218) 846-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4970 Minnesota

Profile Details

NPI number 1043465644
LBN Legal business name Gatheridge, Brian J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2008
Last updated Apr 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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