Gary P Liaboe is a Clinical in Arden Hills, Minnesota. Gary P Liaboe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary P Liaboe is 1184722530. The last update date is 2007-07-08.
Gary P Liaboe's current location address is 3820 Cleveland Ave N, Arden Hills, Minnesota. You can contact this provider via phone number 6513894400 and fax number 6513894410. The mailing address for Gary P Liaboe is 3820 Cleveland Ave N, Arden Hills, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary P Liaboe |
|---|---|
| Address | 3820 Cleveland Ave N, Arden Hills, Minnesota |
| Phone Number | 6513894400 |
| Fax Number | 6513894410 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1184722530 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3820 Cleveland Ave N |
|---|---|
| City | Arden Hills |
| State | Minnesota (MN) |
| Post Code | 551123285 |
| Phone Number | 6513894400 |
| Fax Number | 6513894410 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP 0737 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 191366 | MN | VALUE OPTIONS | |
| 80174310 | MN | WAUSAU | |
| 232253 | MN | PACIFIC LIFE | |
| 6142913 | MN | UNITED BEHARIORAL HEALTH | |
| 5947146 | MN | AETNA | |
| 8017430 | MN | PATIENT CHOICE | |
| 97095547005 | MN | PREFERRED ONE | |
| 324L6CO | MN | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary P Liaboe by the Centers for Medicare & Medicaid Services?
The Gary P Liaboe has been assigned the NPI (National Provider Identifier) 1184722530 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gary P Liaboe?
The Gary P Liaboe is physically situated at 3820 Cleveland Ave N, in the city of Arden Hills, state of MN, with the postal code 551123285.
What is the Gary P Liaboe's area of specialization and corresponding taxonomy classification?
The Gary P Liaboe's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did Gary P Liaboe receive its 1184722530 assignment?
The Gary P Liaboe was assigned its 1184722530 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Gary P Liaboe, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary P Liaboe, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.