Individual provider · Type 1 NPI

Lisa Renee Banuelos-Martin, MA CCC-SLP

Speech-Language Pathologist · Livingston, MT

NPI number 1962738112 Active

Practice location

601 Robin Ln
Livingston, MT 59047-3810

Call (406) 222-7231 Map

Fax (406) 222-2435

Mailing address

504 S 13th St
Livingston, MT 59047-3727

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X1225 (MT)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1962738112

Lisa Renee Banuelos-Martin, MA CCC-SLP's National Provider Identifier is 1962738112, issued on Oct 22, 2009. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Livingston, MT. The record was last updated on Mar 11, 2014.