Provider Demographics
NPI:1316279052
Name:LIVINGSTON, ANDREA DAWN (AUD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:DAWN
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:D
Other - Last Name:LIVINGSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:5711 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1209
Mailing Address - Country:US
Mailing Address - Phone:863-386-9111
Mailing Address - Fax:
Practice Address - Street 1:5711 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1209
Practice Address - Country:US
Practice Address - Phone:863-386-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY700231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist