DR. GARY P LIABOE PH.D. NPI 1184722530

NPI Information

  • NPI: 1184722530
  • Provider Name: DR. GARY P LIABOE, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3820 CLEVELAND AVE N
    # 400
    ARDEN HILLS, MN
    ZIP 55112
  • Phone: (651) 389-4400

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NPI Details

DR. Gary P Liaboe, PH.D. is a clinical psychologist in Arden Hills, MN with 38 years of experience. The provider is 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Gary P Liaboe, PH.D. NPI is 1184722530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3820 CLEVELAND AVE N
# 400
ARDEN HILLS, MN
ZIP 55112-285
Phone: (651) 389-4400
Fax: (651) 389-4410

The NPI 1184722530 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalLP 0737MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1232253OTHERMINNESOTAPACIFIC LIFE
297095547005OTHERMINNESOTAPREFERRED ONE
380174310OTHERMINNESOTAWAUSAU
40005947146OTHERMINNESOTAAETNA
5191366OTHERMINNESOTAVALUE OPTIONS
6324L6COOTHERMINNESOTABLUECROSS/BLUESHIELD
76142913OTHERMINNESOTAUNITED BEHARIORAL HEALTH
88017430OTHERMINNESOTAPATIENT CHOICE
9R64476MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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