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Contact Information

GARY P LIABOE, PhD
3820 CLEVELAND AVE N
# 400
ARDEN HILLS, MN55112-3285
 Phone: 651-389-4400
 Fax: 651-389-4410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GARY P LIABOE · (Male)

NPI Number 1184722530
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LP 0737
  • MN Other 0005947146 AETNA
  • MN Other 324L6CO BLUECROSS/BLUESHIELD
  • MN Other 232253 PACIFIC LIFE
  • MN Other 8017430 PATIENT CHOICE
  • MN Other 97095547005 PREFERRED ONE
  • MN Other 6142913 UNITED BEHARIORAL HEALTH
  • MN Other 191366 VALUE OPTIONS
  • MN Other 80174310 WAUSAU
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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