| Doctor Name: | MRS. DANA J LIVSEY |
| NPI Number: | 1932193109 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 001912 |
| Business Practice Address: | 331 Sijen Ave 509th Medical Group Whiteman Afb, MO - 653051269 |
| Business Phone Number: | 6606874342 |
| Business Fax Number: | 6606875256 |
| Mailing Address: | Rt 1, MALTA BEND |
| State: | MO |
| Postal Code: | 65339 |
| Phone Number: | 6606874342 |
| Fax Number: | 6606875256 |
| NPI Enumeration Date: | 09/02/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 001912 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |