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NPI Code Detail

MEDICARE: MRS. TONIA LIVINGSTON MS, CCC/SLP

MEDICARE: MRS. TONIA LIVINGSTON MS, CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist104086TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790017002
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TONIA LIVINGSTON MS, CCC/SLP
Provider Business Mailing Address
First Line : 411 SUMMIT ST
Second Line :
City : SCHULENBURG
State : TX
Zip : 78956-1532
Country : US
Telephone Number : 979-743-2108
Fax Number : 979-743-2109
Provider Business Practice Location Address
First Line : 411 SUMMIT ST
Second Line :
City : SCHULENBURG
State : TX
Zip : 78956-1532
Country : US
Telephone Number : 979-743-2108
Fax Number : 979-743-2109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2010
Last Update Date : 09/10/2024

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Directions to “ MRS. TONIA LIVINGSTON MS, CCC/SLP” Practice Location

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