Provider Demographics
NPI:1649885948
Name:AQUILINO, ZOE E (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:E
Last Name:AQUILINO
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 V ST NW APT V106
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5606
Mailing Address - Country:US
Mailing Address - Phone:608-469-6310
Mailing Address - Fax:
Practice Address - Street 1:2300 BELLEVIEW AVE
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-3004
Practice Address - Country:US
Practice Address - Phone:608-469-6310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09829235Z00000X
MD02103L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist