NPI 1003265794
Mary Anne Bavaro, CCCSLP
Practice location
- Address
- 108 W University Dr, Mesa, AZ 85201-5818
- Phone
- (619) 971-7067
- Mailing address
- 3935 E Rough Rider Rd Unit 1112, Phoenix, AZ 85050-7354
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1003265794
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Jun 2016
- Record last updated
- 29 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.