Individual
DR. BRUCE G MCBEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1360 ENERGY PARK DR, SAINT PAUL, MN 55108-5276
(651) 644-2267
Mailing address
1687 SIEWERT ST, RED WING, MN 55066-2940
(651) 644-2267
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
LP1411
MN
103TC0700X
Clinical Psychologist
LP1411
MN
103TF0000X
Family Psychologist
LP1411
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27237MC
BLUE CROSSBLUE SHIELD MN
MN
Enumeration date
11/01/2006
Last updated
09/11/2025
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