MRS. Lisa Renee Banuelos-Martin, MA CCC-SLP
NPI #1962738112 in Livingston, Montana
Provider Information
- NPI Number
- 1962738112
- Entity Type
- Individual
- Name
- MRS. Lisa Renee Banuelos-Martin, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Oct 22, 2009
- Last Updated
- Mar 11, 2014
Practice Location
- Address
- 601 ROBIN LN
- City
- Livingston
- State
- Montana
- ZIP Code
- 59047-3810
- Phone
- (406) 222-7231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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