Most Relevant Information
Provider Data
| NPI Number: | 1003278649 |
| Provider Name: | THOMAS EDWARD LIVERNOIS LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2016 |
| Last Updated: | 08/21/2018 |
Provider Practice Location
331 ALBERTA DR STE 214
BUFFALO
NY
14226
Practice Location Phone/Fax
| Phone: | 7165501928 |
| Fax: |
Provider Mailing Location
331 ALBERTA DR STE 214
BUFFALO
NY
142261813
Provider Mailing Phone/Fax
| Phone: | 7165501928 |
| Fax: |