Livingston, Lee Ashley

Livingston, Lee Ashley is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Livingston, Lee Ashley can be contacted via phone (915) 539-0704.

Contact Information

Primary practice address
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504
Phone: (915) 539-0704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 33756 Texas

Profile Details

NPI number 1386630382
LBN Legal business name Livingston, Lee Ashley
Credentials PSY.D., ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2005
Last updated Apr 12th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386630382 NPPES
Virginia MEDICAID 010210399

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