Individual
ASHLEY L LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
2301 BEMISS RD, VALDOSTA, GA 31602
(229) 244-1667
(229) 244-8253
Mailing address
2301 BEMISS RD, VALDOSTA, GA 31602-1934
(229) 244-1667
(229) 244-8253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET002654
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP010415
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235618851
—
GA
Enumeration date
08/14/2018
Last updated
05/23/2019
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