Male or Other

Dr. Gary E. Gunderson ED. D, MS LP

Counseling Psychologist in Brainerd, MN(View on Map)

Full Name

Dr. Gary Edwin Gunderson ED. D, MS LP

NPI Number

1093835159

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/30/2007

Specialties

(Taxonomies)

Code

103TC1900X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

LP2801

Contact
Information

Purpose

Mailing
Location

Address

28022 COUNTY ROAD 107
702 SW 5TH ST

City

Pequot Lakes
Brainerd

State

MN
MN

Postal Code

56472-3312
56401-3997

Country

US
US

Telephone Number

(218) 838-2448
(218) 454-6369

Identifiers

Identifier

1012381
4K588GU
150743
62-47591
25543

Identifier State

MN
MN
MN
MN
MN

Identifier Issuer

PR ONE
BCBS
BHP
UBH
HP

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

Other Counseling Psychologist in Brainerd, Minnesota:

Female

Ruth Schaefer MSLP

Brainerd, MN

Specialty: Counseling Psychologist (Primary)