# ALICE SIU-NGAR IP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215937156
- **Gender:** F
- **Credential:** AU.D., CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | LD00002446 | WA | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 01/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 163291 | LABOR AND INDUSTRIES | WA |
| 01 | — | 6353IP | REGENCE BLUE SHIELD | WA |
| 05 | — | 8344293 | — | WA |