Provider Demographics
NPI:1205307980
Name:PHARR, AIMEE BAIRD (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:BAIRD
Last Name:PHARR
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 RITCHIE HWY STE 101B
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2408
Mailing Address - Country:US
Mailing Address - Phone:410-417-7310
Mailing Address - Fax:
Practice Address - Street 1:1511 RITCHIE HWY STE 101B
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2408
Practice Address - Country:US
Practice Address - Phone:410-417-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06553235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist