Individual
JOHN J LIVINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1952 E 7000 S STE 100, SALT LAKE CITY, UT 84121-6878
(801) 942-3311
(801) 942-5955
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
9863
OH
235Z00000X
Speech-Language Pathologist
Primary
SLP13442
AZ
Other
Enumeration date
01/10/2008
Last updated
01/07/2022
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