Lisa Renee Banuelos-Martin, MA CCC-SLP
NPI 1962738112ActiveIndividual· Speech-Language Pathologist· Livingston, MT
Speech-Language Pathologist (MA CCC-SLP) in Livingston, Montana, licensed in MT, with an NPI issued in October 2009.
Overview
| NPI | 1962738112 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA CCC-SLP |
| Sole proprietor | No |
| NPI issued | Oct 22, 2009 |
| Last updated in NPPES | Mar 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 1225 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Speech-Language Pathologist providers in Livingston
- 1760329510
- 1326609025
- 1902216674
- 1114206489
- 1043657752
- 1588933790