Provider Demographics
NPI:1912195439
Name:AARON, MONIQUE SIMS (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:SIMS
Last Name:AARON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SADDLE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-2757
Mailing Address - Country:US
Mailing Address - Phone:919-381-1770
Mailing Address - Fax:
Practice Address - Street 1:104 SADDLE CREEK LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-2757
Practice Address - Country:US
Practice Address - Phone:919-381-1770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01123291235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist