Provider Demographics
NPI:1770817769
Name:FLOWERS, AARON SEAN (MA-SLP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:SEAN
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:MA-SLP
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:SEAN
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA-SLP
Mailing Address - Street 1:374 CANON MADERA RD
Mailing Address - Street 2:
Mailing Address - City:SANDIA PARK
Mailing Address - State:NM
Mailing Address - Zip Code:87047-9473
Mailing Address - Country:US
Mailing Address - Phone:505-389-9843
Mailing Address - Fax:
Practice Address - Street 1:2301 YALE BLVD SE STE A3
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4350
Practice Address - Country:US
Practice Address - Phone:505-385-8028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSLP6676235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist