| Doctor Name: | MISS ALICIA BENNETT |
| NPI Number: | 1194161885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA-SLP, CCC |
| License Number: | LL 60375355 |
| Business Practice Address: | 4041 S 298th St Auburn, WA - 980011581 |
| Business Phone Number: | 2539452507 |
| Business Fax Number: | 2539452525 |
| Mailing Address: | 33330 8th Ave S, FEDERAL WAY |
| State: | WA |
| Postal Code: | 980036325 |
| Phone Number: | 2539452086 |
| Fax Number: | 2539452177 |
| NPI Enumeration Date: | 05/21/2013 |
| NPI Last Update Date: | 05/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL 60375355 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |