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MR. GEORGE LORNE TETREAULT
NPI 1306940333
Psychologist - Clinical in Brainerd, MN

Active since September 11, 2006
823 MAPLE ST, BRAINERD, MN 56401(833) 316-0698 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. George Lorne Tetreault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GEORGE LORNE TETREAULT (NPI 1306940333) is an individual clinical provider in Brainerd, Minnesota, licensed in Minnesota (LP2766) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1306940333
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. GEORGE LORNE TETREAULT
Location Address823 MAPLE STBrainerd, MN 56401-3770
Mailing Address823 Maple StBrainerd, MN 56401-3770 · (833) 316-0698
Phone(833) 316-0698
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateNovember 8, 2022
NPPES CertifiedNovember 8, 2022
✔ NPI 1306940333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP2766
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
823 MAPLE ST, Brainerd, MN 56401
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Other Identifiers 1

Medicaid1013904051MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BETHANY ROSE NORDBY LICSW
Social Worker (Clinical)
823 MAPLE ST
BRAINERD, MN 56401
Crow Wing County (218) 454-4065
AMANDA MARY KAMPA MSW, LICSW
Social Worker (Clinical)
823 MAPLE ST
BRAINERD, MN 56401
Crow Wing County (218) 454-3826
MR. SHAWN S MCNALLY LICSW
Social Worker (Clinical)
823 MAPLE ST
BRAINERD, MN 56401
Crow Wing County (218) 454-3826
LUKE WILLIAM BORKENHAGEN MSW, LICSW
Social Worker (Clinical)
823 MAPLE ST
BRAINERD, MN 56401
Crow Wing County (218) 454-3826
STEPHANIE SILGJORD MSW, LICSW
Social Worker (Clinical)
823 MAPLE ST
BRAINERD, MN 56401
Crow Wing County (320) 733-4071
CATRINA KAY HELSETH LICSW
Social Worker (Clinical)
823 MAPLE ST
BRAINERD, MN 56401
Crow Wing County (218) 330-8474
MRS. SAMI CROSS LPCC
Counselor (Mental Health)
823 MAPLE ST
BRAINERD, MN 56401
Crow Wing County (218) 820-0011
KELSEY DAGEN MA, ATR, LMFT
Marriage & Family Therapist
823 MAPLE ST
BRAINERD, MN 56401
Crow Wing County (218) 454-3826

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Tetreault's NPI number?

The NPI number for George Tetreault is 1306940333. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is George Tetreault located?

George Tetreault practices at 823 Maple St, Brainerd, MN 56401. The listed phone number is (833) 316-0698.

What is George Tetreault's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for George Tetreault was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.