Provider Demographics
NPI:1346995529
Name:AAC ASSOCIATES SPEECH & LANGUAGE SPECIALTIES LLC
Entity Type:Organization
Organization Name:AAC ASSOCIATES SPEECH & LANGUAGE SPECIALTIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAATIMAH
Authorized Official - Middle Name:MALIKA
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:803-413-3947
Mailing Address - Street 1:217 ALEXANDER DARIUS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4364
Mailing Address - Country:US
Mailing Address - Phone:803-413-3947
Mailing Address - Fax:
Practice Address - Street 1:217 ALEXANDER DARIUS CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4364
Practice Address - Country:US
Practice Address - Phone:803-413-3947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty