Provider Demographics
NPI:1306867205
Name:CALDEIRA, LIVIA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:LIVIA
Middle Name:L
Last Name:CALDEIRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ASPEN RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7346
Mailing Address - Country:US
Mailing Address - Phone:914-725-6902
Mailing Address - Fax:
Practice Address - Street 1:280 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1438
Practice Address - Country:US
Practice Address - Phone:914-725-6902
Practice Address - Fax:914-725-2316
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011705103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY162420OtherVALUE OPTIONS
NY6806054OtherGHI
NYV7C731Medicare ID - Type Unspecified