Gabrielle Itta Liverant in Boston - Clinical
Gabrielle Itta Liverant - NPI 1912197211
Gabrielle Itta Liverant is a Clinical in Boston, Massachusetts. Gabrielle Itta Liverant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gabrielle Itta Liverant is 1912197211. The last update date is 2015-08-04.
Gabrielle Itta Liverant's current location address is 185 Devonshire St, Boston, Massachusetts. You can contact this provider via phone number 6177218445. The mailing address for Gabrielle Itta Liverant is 185 Devonshire St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gabrielle Itta Liverant |
|---|---|
| Address | 185 Devonshire St, Boston, Massachusetts |
| Phone Number | 6177218445 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1912197211 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2015-08-04 |
Provider Mailing Address Detail
| Address | 185 Devonshire St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21101407 |
| Phone Number | 6177218445 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 10165 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Gabrielle Itta Liverant by the Centers for Medicare & Medicaid Services?
The Gabrielle Itta Liverant has been issued the NPI (National Provider Identifier) 1912197211. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gabrielle Itta Liverant's physical address?
The Gabrielle Itta Liverant is physically located at 185 Devonshire St, in the city of Boston, MA, with the postal code 21101407.
What is Gabrielle Itta Liverant's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gabrielle Itta Liverant's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Gabrielle Itta Liverant receive its 1912197211?
The Gabrielle Itta Liverant was issued its 1912197211 on 2007-08-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Gabrielle Itta Liverant most recently updated or revised?
The information pertaining to Gabrielle Itta Liverant, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-04.
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