Organization
GARY P. LIABOE, PHD, LP, LLC
Active
Other names
CORNERSTONE PSYCHOLOGICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY P LIABOE PH.D., LP (PRESIDENT)
(651) 389-4400
Entity
Organization
Contact information
Practice address
3820 CLEVELAND AVE N, ST 400, ARDEN HILLS, MN 55112-3285
(651) 389-4400
(651) 389-4410
Mailing address
3820 CLEVELAND AVE N, ST 400, ARDEN HILLS, MN 55112-3285
(651) 389-4400
(651) 389-4410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0737
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005947146
AETNA
MN
01
—
191366
VALUE OPTIONS
MN
01
—
232253
PACIFIC LIFE
MN
01
—
324L6CO
BLUECROSS/BLUESHIELD
MN
01
—
6142913
UNITED BEHARIORAL HEALTH
MN
01
—
8017430
PATIENT CHOICE
MN
01
—
80174310
WAUSAU
MN
01
—
97095547005
PREFERRED ONE
MN
Enumeration date
10/10/2007
Last updated
07/08/2008
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