Organization Name: | AIM ACADEMY |
NPI Number: | 1053641605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA ROBERTS (EXECUTIVE DIRECTOR) |
Mailing Address: | 1200 River Rd Conshohocken |
State: | PA US |
Postal Code: | 194282442 |
Phone Number: | 2154832461 |
Fax Number: | 2154834597 |
NPI Enumeration Date: | 01/04/2010 |
NPI Last Update Date: | 10/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 05/07/2010 |
NPI Reactivation Date: | 05/26/2010 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |