MEDICARE: MRS. MAIA ELIZABETH AULTMAN M.S.CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA11531	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285912295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAIA ELIZABETH AULTMAN M.S.CCC-SLP

Provider Business Mailing Address
First Line	:	2920 BELLVIEW AVE
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-1306
Country	:	US
Telephone Number	:	850-610-0770
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 BELLVIEW AVE
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-1306
Country	:	US
Telephone Number	:	850-610-0770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2011
Last Update Date	:	11/21/2025

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Directions to “ MRS. MAIA ELIZABETH AULTMAN M.S.CCC-SLP” Practice Location

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