ALICIA HANNER
NPI 1649847179
Speech-Language Pathologist in Waterford, MI

Q: What is Alicia Hanner's NPI number?

The NPI number for Alicia Hanner is 1649847179. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Q: What is Alicia Hanner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Hanner was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2021

2300 WATKINS LAKE RD, WATERFORD, MI 48328(248) 673-1720 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, Jun 3, 2021 (2 updates tracked since 2021).

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About Alicia Hanner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA HANNER (NPI 1649847179) is an individual speech-language pathologist provider in Waterford, Michigan, licensed in Michigan (7101006292) and active in the NPI registry since June 2021. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1649847179

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameALICIA HANNER

Location Address2300 WATKINS LAKE RDWaterford, MI 48328-1439

Mailing Address5775 Coomer RdWest Bloomfield, MI 48324-1111 · (517) 403-6218

Phone(248) 673-1720

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 3, 2021

Last NPPES UpdateMay 10, 20242 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1649847179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 7101006292

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2300 WATKINS LAKE RD, Waterford, MI 48328

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Hanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42714107

PECOS Enrollment IDI20250920000108

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON WEAVER PT

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