Provider Demographics
NPI:1992214480
Name:WEEKS, ALICIA HALLEY (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:HALLEY
Last Name:WEEKS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40213
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-0903
Mailing Address - Country:US
Mailing Address - Phone:509-995-3125
Mailing Address - Fax:509-612-7776
Practice Address - Street 1:1523 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3617
Practice Address - Country:US
Practice Address - Phone:509-995-3125
Practice Address - Fax:509-612-7776
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
WALL60851395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist