Provider Demographics
NPI:1346715240
Name:FERTMAN, AIMEE HELENE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:HELENE
Last Name:FERTMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 W COMMODORE WAY APT 503
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-1230
Mailing Address - Country:US
Mailing Address - Phone:206-890-9865
Mailing Address - Fax:
Practice Address - Street 1:7701 15TH AVE NW STE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-5414
Practice Address - Country:US
Practice Address - Phone:206-888-6150
Practice Address - Fax:206-566-0410
Is Sole Proprietor?:No
Enumeration Date:2018-10-06
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL61011286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist