GABRIELLE ITTA LIVERANT


Address: 185 Devonshire St, 9th Floor, Boston, MA 02110-1407
Phone: 6177218445

GABRIELLE ITTA LIVERANT (NPI# 1912197211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912197211
Entity Type Individual
Full Name GABRIELLE ITTA LIVERANT
Credential PH.D.
Practice Address 185 Devonshire St
9th Floor
Boston
MA 02110-1407
Practice Telephone 6177218445
Mailing Telephone 6177218445
Enumeration Date 2007-08-01
Last Update Date 2015-08-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
PS01138 RI Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
10165 MA Behavioral Health & Social Service Providers

Office Location

Street Address 185 DEVONSHIRE ST
9TH FLOOR
City BOSTON
State MA
Zip Code 02110-1407

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City BOSTON
Zip Code 02110

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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