Most Relevant Information
Provider Data
| NPI Number: | 1003334509 |
| Provider Name: | EMILY ELOISE LIVERMORE PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY32910 |
Most Important Dates
| Enumeration Date: | 09/05/2017 |
| Last Updated: | 04/29/2024 |
Provider Practice Location
300 PASTEUR DR
STANFORD
CA
943052200
Practice Location Phone/Fax
| Phone: | 6507234000 |
| Fax: |
Provider Mailing Location
300 PASTEUR DR
STANFORD
CA
943052200
Provider Mailing Phone/Fax
| Phone: | 6507234000 |
| Fax: |