Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Lisa Renee Banuelos-Martin, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1962738112

Mrs. Lisa Renee Banuelos-Martin, MACCC-SLP is a Speech-Language Pathologist in Livingston, Montana. Licensed in Montana. Registered with an NPI since 2009.

Licensed in
MT
In the registry since
2009

Practice location Address checks out

601 Robin Ln
Livingston, MT 59047-3810
Phone: (406) 222-7231
Fax: (406) 222-2435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1225 (MT)

Record details

NPI number1962738112
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedOctober 22, 2009
Last updated in NPPESMarch 11, 2014

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