Provider Demographics
NPI:1972808467
Name:MYERS, AARON MATTHEW (MA SLP-CFY)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:MATTHEW
Last Name:MYERS
Suffix:
Gender:M
Credentials:MA SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7209 CURRY FORD RD STE E
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-5809
Mailing Address - Country:US
Mailing Address - Phone:407-421-7284
Mailing Address - Fax:407-382-4210
Practice Address - Street 1:7209 CURRY FORD RD STE E
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5809
Practice Address - Country:US
Practice Address - Phone:407-421-7284
Practice Address - Fax:407-382-4210
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 5308235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist