Individual provider · Type 1 NPI
Jessica Marie Livernois
Speech-Language Assistant · White Lake, MI
NPI number
1457544751
Active
Practice location
649 Woodsedge Ln
White Lake, MI 48386-3554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | L165403585699 (MI) |
Speech-Language Assistant: Definition to come...
About NPI 1457544751
Jessica Marie Livernois's National Provider Identifier is 1457544751, issued on Aug 21, 2007. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in White Lake, MI. The record was last updated on Aug 21, 2007.