Gail Joanne Liese is a Clinical in Midvale, Utah. Gail Joanne Liese practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gail Joanne Liese is 1235100413. The last update date is 2007-07-08.
Gail Joanne Liese's current location address is 7309 S 180 W, Midvale, Utah. You can contact this provider via phone number 8015656800 and fax number 8015699718. The mailing address for Gail Joanne Liese is 7309 S 180 W, Midvale, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gail Joanne Liese |
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Address | 7309 S 180 W, Midvale, Utah |
Phone Number | 8015656800 |
Fax Number | 8015699718 |
Sole Proprietor | X |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1235100413 |
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Provider Enumeration Date | 2006-01-27 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 7309 S 180 W |
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City | Midvale |
State | Utah (UT) |
Post Code | 840471020 |
Phone Number | 8015656800 |
Fax Number | 8015699718 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 2708742501 |
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 Gail Joanne Liese by the Centers for Medicare & Medicaid Services?
The Gail Joanne Liese has been issued the NPI (National Provider Identifier) 1235100413. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gail Joanne Liese is physically located?
The Gail Joanne Liese is situated at the following address: 7309 S 180 W, Midvale, UT 840471020.
What is Gail Joanne Liese's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gail Joanne Liese is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Gail Joanne Liese receive the assignment of its 1235100413 from the Centers for Medicare & Medicaid Services?
The Gail Joanne Liese was issued its 1235100413 by the Centers for Medicare & Medicaid Services on 2006-01-27.
When was the information regarding Gail Joanne Liese most recently updated?
The details pertaining to the Gail Joanne Liese, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.