Individual
DR. GAYLE HEATHER MACBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1601 SAINT FRANCIS AVE STE 100, SHAKOPEE, MN 55379-3384
(952) 428-3535
(952) 428-3599
Mailing address
1870 FOOTHILL TRL, SHAKOPEE, MN 55379-9631
(618) 559-6836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.007318
IL
103TC0700X
Clinical Psychologist
Primary
LP4678
MN
Other
Enumeration date
08/26/2007
Last updated
03/11/2021
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