Healthcare Provider Details

I. General information

NPI: 1548177090
Provider Name (Legal Business Name): ALICIA HAYES
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 W DRAHNER RD
OXFORD MI
48371-4866
US

IV. Provider business mailing address

775 W DRAHNER RD
OXFORD MI
48371-4866
US

V. Phone/Fax

Practice location:
  • Phone: 248-572-9588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: