Individual
REGINA MARIE SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS SLP
Contact information
Practice address
4101 E BASELINE RD APT 213, GILBERT, AZ 85234-9103
(360) 303-7418
Mailing address
4101 E BASELINE RD APT 213, GILBERT, AZ 85234-9103
(360) 303-7418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5054
AZ
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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