Shannon Paula Farrell, SLP
Speech-Language Pathologist, in San Tan Valley, AZ. Individual provider (NPI-1).
NPI number1942530845
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1942530845
- Entity type
- Individual (NPI-1)
- Name
- Shannon Paula Farrell
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2009
- Certification date
- Feb 8, 2022
- Last updated
- Feb 23, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP 6283 | AZ | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225200000X | Physical Therapy Assistant | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – |
Practice location
43507 N Ironwood DrSan Tan Valley, AZ 85140
Phone 480-757-2253
Mailing address
22424 S Ellsworth Loop Rd Unit 464Queen Creek, AZ 85142-7070
Phone 480-757-2253
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Speech-Language Pathologist providers in San Tan Valley · All 797 providers in San Tan Valley
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