Provider Demographics
NPI:1639258601
Name:AIELLO, FRANCIS A (PHD, CCC-A)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:A
Last Name:AIELLO
Suffix:
Gender:M
Credentials:PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 N EDISON ST STE D
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1375
Mailing Address - Country:US
Mailing Address - Phone:509-736-4005
Mailing Address - Fax:509-737-9525
Practice Address - Street 1:1149 N EDISON ST STE D
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1375
Practice Address - Country:US
Practice Address - Phone:509-736-4005
Practice Address - Fax:509-737-9525
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00002266237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9048539Medicaid
WA7099757Medicaid
WAAB15121Medicare ID - Type Unspecified
WAAB15122Medicare ID - Type Unspecified
WAR11387Medicare UPIN