Provider Demographics
NPI:1336573732
Name:LIVINGSTON, KALEIGH DALENE (MA CF-SLP)
Entity Type:Individual
Prefix:
First Name:KALEIGH
Middle Name:DALENE
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20727 12TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98198-2601
Mailing Address - Country:US
Mailing Address - Phone:509-499-2442
Mailing Address - Fax:
Practice Address - Street 1:20727 12TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98198-2601
Practice Address - Country:US
Practice Address - Phone:509-499-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist