Maximo Aquilizan Jr., SLP
Speech-Language Pathologist, in Raytown, MO. Individual provider (NPI-1).
NPI number1225751639
StatusActive
Last updated in NPPESSep 21, 2022
Details
- NPI
- 1225751639
- Entity type
- Individual (NPI-1)
- Name
- Maximo Aquilizan Jr.
- Credential
- SLP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2022
- Certification date
- Sep 20, 2022
- Last updated
- Sep 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2022033288 | MO | Yes |
Practice location
6608 Raytown RdRaytown, MO 64133-5240
Phone 818-281-9172
Mailing address
6608 Raytown RdRaytown, MO 64133-5240
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All 45 Speech-Language Pathologist providers in Raytown · All 502 providers in Raytown
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