Individual
DR. LEE ASHLEY LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., ABPP
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(915) 539-0704
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
33756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010210399
—
VA
Enumeration date
09/25/2005
Last updated
04/12/2018
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