Provider Demographics
NPI:1427301340
Name:LIVENGOOD, LINDSAY (AUD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:LIVENGOOD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 KUALA ST
Mailing Address - Street 2:SUITE #104
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3900
Mailing Address - Country:US
Mailing Address - Phone:808-206-7508
Mailing Address - Fax:808-484-4133
Practice Address - Street 1:1245 KUALA ST
Practice Address - Street 2:SUITE #104
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3900
Practice Address - Country:US
Practice Address - Phone:808-206-7508
Practice Address - Fax:808-484-4133
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2864237600000X
HIAUD144231H00000X
HIHA244237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter