Individual
DR. GARY P LIABOE
Active
Individual
DR. GARY P LIABOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 0737
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
09/20/2006
Last updated
07/08/2007
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