Provider Demographics
NPI:1386113587
Name:PITT, ALICIA (SLP)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:PITT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:K
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:10324 CANYON RD E STE 203
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-1013
Mailing Address - Country:US
Mailing Address - Phone:253-471-2727
Mailing Address - Fax:253-471-2730
Practice Address - Street 1:10324 CANYON RD E STE 203
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-1013
Practice Address - Country:US
Practice Address - Phone:253-471-2727
Practice Address - Fax:253-471-2730
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI60888694235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist