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Gwen Brutlag, MS,LP
Psychologist in Fergus Falls, Minnesota
NPI 1275656431

Gwen Brutlag is a Psychologist based in Fergus Falls, MN. Gwen Brutlag practices in Fergus Falls, MN and has the professional credentials of MS,LP. The NPI Number for Gwen Brutlag is 1275656431 and holds a License No. LP 1204 (Minnesota).

The current practice location address for Gwen Brutlag is 220 W Washington Ave, Fergus Falls, MN and can be reached out via phone at 218-739-8761 and via fax at 218-739-8581.

Location: 220 W Washington Ave, Fergus Falls, MN, 56537-2569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275656431
Provider Name
Gwen Brutlag
Credential
MS,LP
Provider Entity Type
Individual
Gender
Female
Address
220 W Washington Ave, Fergus Falls, MN, 56537-2569
Phone Number
218-739-8761
Fax Number
218-739-8581
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1991028 01 FED ID NUMBER
LP 1204 01 MN LISENCE NUMBER
institution
Provider Business Practice Location Address Details
Address
220 W Washington Ave
City
Fergus Falls
State
Minnesota
Zip
56537-2569
Phone Number
218-739-8761
Fax Number
218-739-8581
person
Provider Business Mailing Address Details
Address
220 W Washington Ave
City
Fergus Falls
State
Minnesota
Zip
56537-2569
Phone Number
218-739-8761
Fax Number
218-739-8581
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP 1204 (Minnesota)
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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