Individual
DR. GAIL BARRY BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5665 COLLEGE AVE, 240B, OAKLAND, CA 94618-1625
(510) 433-7315
(510) 848-8343
Mailing address
2342 SHATTUCK AVE, #828, BERKELEY, CA 94704-1517
(510) 433-7315
(510) 848-8343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18020
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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