| Gwen Brutlag, MS, LP | |
|
220 W Washington Ave, Wells Fargo Bank Building, Suite 204, Fergus Falls, MN 56537-2569 | |
| (218) 739-8761 | |
| (218) 739-8581 |
| Full Name | Gwen Brutlag |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 220 W Washington Ave, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275656431 | NPI | - | NPPES |
| 1991028 | Other | FED ID NUMBER | |
| LP 1204 | Other | MN | LISENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP 1204 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Brutlag, MS, LP 220 W Washington Ave, Wells Fargo Bank Building, Suite 204, Fergus Falls, MN 56537-2569 Ph: (218) 739-8761 | Gwen Brutlag, MS, LP 220 W Washington Ave, Wells Fargo Bank Building, Suite 204, Fergus Falls, MN 56537-2569 Ph: (218) 739-8761 |
Ricardo P. Ascano, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 E Alcott Ave, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-0734 | |
Frank Dale Campbell, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 125 W Lincoln, Suite 12, Fergus Falls, MN 56537 Phone: 218-739-0683 Fax: 218-739-0683 | |
Francis M. Jacobson, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 East Alcott Avenue, Lakeland Mental Health Center, Fergus Falls, MN 56537 Phone: 218-736-6987 | |
Brandon Saxton, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 125 W Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-998-2992 Fax: 320-323-4357 | |
Christianne M Lysne, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 225 W Cavour Ave, Fergus Falls, MN 56537 Phone: 218-998-3123 Fax: 218-998-3126 | |
Dr. Mark Carl Lysne, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 225 W Cavour Ave, Fergus Falls, MN 56537 Phone: 218-998-3123 Fax: 218-998-3126 |