Individual
SHANNON ELAINE SCAVARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2725 E MINE CREEK RD, 1161, PHOENIX, AZ 85024-6256
(480) 502-7726
(480) 513-4628
Mailing address
2725 E MINE CREEK RD, 1161, PHOENIX, AZ 85024-6256
(480) 266-8777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4473
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947137
—
AZ
Enumeration date
02/11/2007
Last updated
03/25/2025
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