Healthcare Provider Details

I. General information

NPI: 1568359859
Provider Name (Legal Business Name): REBECKA LIVINGSTONE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 CROSSROADS DR STE 400
OWINGS MILLS MD
21117-5490
US

IV. Provider business mailing address

2002 MEDICAL PKWY STE 230
ANNAPOLIS MD
21401-3282
US

V. Phone/Fax

Practice location:
  • Phone: 410-356-2626
  • Fax: 410-356-7806
Mailing address:
  • Phone: 410-266-3900
  • Fax: 410-356-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01721
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: