Individual
ROSANNE MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1407 24TH AVE S, GRAND FORKS, ND 58201-6761
(701) 746-6336
Mailing address
1407 24TH AVE S, GRAND FORKS, ND 58201-6761
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
275
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18657
—
ND
01
—
24744
BLUECROSSBLUESHIELD OF ND
ND
01
—
309K6MC
BLUECROSSBLUESHIELD OF MN
MN
Enumeration date
10/05/2006
Last updated
07/08/2007
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