Provider Demographics
NPI:1588553481
Name:LIVINGSTON, SHEWANNA (ND, CAM)
Entity type:Individual
Prefix:MS
First Name:SHEWANNA
Middle Name:
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:ND, CAM
Other - Prefix:MS
Other - First Name:SHEWANNA
Other - Middle Name:
Other - Last Name:LIVINGSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND, CAM
Mailing Address - Street 1:1800 ASHBOURNE RD UNIT 8901
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2560
Mailing Address - Country:US
Mailing Address - Phone:267-531-8686
Mailing Address - Fax:
Practice Address - Street 1:4117 LANCASTER AVE # 4117
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-1726
Practice Address - Country:US
Practice Address - Phone:646-420-4202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZZGW3UJDYXM175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath