Individual
SHANNON PAULA FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
43507 N IRONWOOD DR, SAN TAN VALLEY, AZ 85140
(480) 757-2253
Mailing address
22424 S ELLSWORTH LOOP RD UNIT 464, QUEEN CREEK, AZ 85142-7070
(480) 757-2253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP 6283
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942530845
HOME HEALTH
AZ
Enumeration date
12/28/2009
Last updated
02/23/2022
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