Individual provider · Type 1 NPI

Mary Anne Bavaro, CCC-SLP

Speech-Language Pathologist · Mesa, AZ

NPI number 1003265794 Active

Practice location

108 W University Dr
Mesa, AZ 85201-5818

Call (619) 971-7067 Map

Mailing address

3935 E Rough Rider Rd Unit 1112
Phoenix, AZ 85050-7354

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP16215

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1003265794

Mary Anne Bavaro, CCC-SLP's National Provider Identifier is 1003265794, issued on Jun 3, 2016. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Mesa, AZ. The record was last updated on Jun 29, 2025.