Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Hanner

Individual provider Speech-Language Pathologist · NPI 1649847179

Alicia Hanner is a Qualified Speech Language Pathologist in Waterford, Michigan. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2021

Practice location Address checks out

2300 Watkins Lake Rd
Waterford, MI 48328-1439
Phone: (248) 673-1720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101006292 (MI)

Record details

NPI number1649847179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2021
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address5775 Coomer Rd, West Bloomfield, MI 48324-1111

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Waterford