| Cornerstone Psychological Services | |
|
3820 Cleveland Ave N St 400 Arden Hills MN 55112-3285 | |
| (651) 389-4400 | |
| (651) 389-4410 |
| Full Name | Cornerstone Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 3820 Cleveland Ave N, Arden Hills, Minnesota |
| Authorized Official Name and Position | Gary P Liaboe (PRESIDENT) |
| Authorized Official Contact | 6513894400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Psychological Services 3820 Cleveland Ave N St 400 Arden Hills MN 55112-3285 Ph: (651) 389-4400 | Cornerstone Psychological Services 3820 Cleveland Ave N St 400 Arden Hills MN 55112-3285 Ph: (651) 389-4400 |
| NPI Number | 1164610598 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 07/08/2008 |
| Medicare PECOS PAC ID | 3476529934 |
|---|---|
| Medicare Enrollment ID | O20040907000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164610598 | NPI | - | NPPES |
| 324L6CO | Other | MN | BLUECROSS/BLUESHIELD |
| 80174310 | Other | MN | WAUSAU |
| 97095547005 | Other | MN | PREFERRED ONE |
| 191366 | Other | MN | VALUE OPTIONS |
| 6142913 | Other | MN | UNITED BEHARIORAL HEALTH |
| 8017430 | Other | MN | PATIENT CHOICE |
| 232253 | Other | MN | PACIFIC LIFE |
| 0005947146 | Other | MN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP0737 (Minnesota) | Primary |
| Provider Name | Gary P Liaboe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184722530 PECOS PAC ID: 9739155292 Enrollment ID: I20040907000409 |
Cmaj, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3820 Cleveland Ave N Ste 400, Arden Hills, MN 55112 Phone: 651-389-4406 Fax: 651-389-4410 | |
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