Provider Demographics
NPI:1700760055
Name:SMITH, ALEXIS DIANE (SLP-CF)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:DIANE
Last Name:SMITH
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6450 NE RADFORD DR APT 525
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5019
Mailing Address - Country:US
Mailing Address - Phone:401-829-2166
Mailing Address - Fax:
Practice Address - Street 1:626 120TH AVE NE STE B100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3021
Practice Address - Country:US
Practice Address - Phone:425-615-7771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist