Provider Demographics
NPI:1942771019
Name:AARON, IRENE QUINTELLA DEVON (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:QUINTELLA DEVON
Last Name:AARON
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:QUINTELLA DEVON
Other - Last Name:HARLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:4200 PARLIAMENT PL STE 550
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1883
Mailing Address - Country:US
Mailing Address - Phone:240-245-4370
Mailing Address - Fax:
Practice Address - Street 1:4200 PARLIAMENT PL STE 550
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1883
Practice Address - Country:US
Practice Address - Phone:240-245-4370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08449235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist