Healthcare Provider Details

I. General information

NPI: 1275679276
Provider Name (Legal Business Name): ROXANNE J AARON AU.D., CCC-A, FAAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 12/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 JEFFERSON AVE
MEMPHIS TN
38105-5042
US

IV. Provider business mailing address

807 JEFFERSON AVE
MEMPHIS TN
38105-5042
US

V. Phone/Fax

Practice location:
  • Phone: 901-678-5800
  • Fax: 901-525-1282
Mailing address:
  • Phone: 901-678-5800
  • Fax: 901-525-1282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number01772
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1509
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1772
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: