Gary R Livermore in Minneapolis - Psychologist

Gary R Livermore - NPI 1790741486

Gary R Livermore is a Psychologist in Minneapolis, Minnesota. Gary R Livermore practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gary R Livermore is 1790741486. The last update date is 2007-07-08.

Gary R Livermore's current location address is 322 West 50th Street, Minneapolis, Minnesota. You can contact this provider via phone number 6128218489. The mailing address for Gary R Livermore is 322 West 50th Street, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary R Livermore
Address 322 West 50th Street, Minneapolis, Minnesota
Phone Number 6128218489
Fax Number
Sole Proprietor X
Credentials PHD

NPI Number Detail

NPI Number 1790741486
Provider Enumeration Date 2006-04-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 322 West 50th Street
City Minneapolis
State Minnesota (MN)
Post Code 55419
Phone Number 6128218489
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP2236
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
26860LI MN BLUE CROSS

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FAQs about Gary R Livermore

What is the Gary R Livermore's unique identification number?

The Gary R Livermore has been assigned the NPI (National Provider Identifier) Number 1790741486 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Gary R Livermore?

The Gary R Livermore is situated at 322 West 50Th Street, in the city of Minneapolis, state of MN, with the zip code 55419.

What is Gary R Livermore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gary R Livermore is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.

When did the Gary R Livermore receive its 1790741486?

The Gary R Livermore was issued its 1790741486 on 2006-04-22, which is the date when the organization was assigned this unique identifier.

When was the information regarding Gary R Livermore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gary R Livermore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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