Provider Demographics
NPI:1619401288
Name:AIM SPEECH LANGUAGE & EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:AIM SPEECH LANGUAGE & EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VIEUX
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:631-943-7413
Mailing Address - Street 1:9480 VIRGINIA CENTER BLVD
Mailing Address - Street 2:APTL 203
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-4807
Mailing Address - Country:US
Mailing Address - Phone:631-943-7413
Mailing Address - Fax:
Practice Address - Street 1:9480 VIRGINIA CENTER BLVD
Practice Address - Street 2:APTL 203
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22181-4807
Practice Address - Country:US
Practice Address - Phone:631-943-7413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006977235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty