Individual
MR. DAVID JOHN BARAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D LP
Contact information
Practice address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0452
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110583C851
UCARE
—
01
—
16933
OPTUM
—
05
—
345547500
—
MN
01
—
54059BA
BCBS
—
01
—
6120067
MEDICA
—
01
—
922241022553
PREFERRED ONE
—
01
—
HP25561
HEALTH PARTNERS
—
Enumeration date
06/20/2006
Last updated
01/27/2010
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