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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA RENEE BANUELOS-MARTIN, MA CCC-SLP

Active

MRS. LISA RENEE BANUELOS-MARTIN, MA CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in LIVINGSTON, Montana. NPI 1962738112 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · LIVINGSTON, MT

Registration Details

NPI Number
1962738112
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2009 (16.771361773118 yrs)
Last Updated
Mar 11, 2014
License
1225 (MT)

Practice Information

Address
601 ROBIN LN
LIVINGSTON, MT, 590473810
Browse MT providers · Browse ZIP 59047
Phone
4062227231
Fax
4062222435
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in LIVINGSTON, MT

Name Credential NPI
MRS. ALYSSA DAWN MILLER SLP 1114206489
MS. LISA CALKINS VANDERPAN M.S., SLP-CCC 1588933790
JAMIE LYNN VAN ZEE CCC-SLP 1043657752
MRS. SHERIDAN COTRELL SLP 1902216674
MISS MELISSA CAPOCACCIA CCC-SLP 1326609025
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.