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DR. LEE ASHLEY LIVINGSTON PSY.D., ABPP

Clinical Neuropsychologist

Fort Sam Houston, Texas

Provider NPI: 1386630382

Provider Information:
DR. LEE ASHLEY LIVINGSTON PSY.D., ABPP
Gender: F
Not Sole Proprietor

Practice Location:
3551 ROGER BROOKE DR  FORT SAM HOUSTON, TX 78234 US
Tel: 915-539-0704  Fax: --

Business Mailing Address:
3551 ROGER BROOKE DR  FORT SAM HOUSTON, TX 78234 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX33756

Other Provider Identifiers:

IssuerNumberStateType
010210399VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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