Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003265794 Individual Practitioner Female Practitioner

Mary Anne Bavaro , CCC-SLP

Speech-Language Pathologist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Mary Bavaro, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mesa, AZ. Practice services are available at 108 W UNIVERSITY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 W University Dr

Mesa, AZ 852015818

Telephone 6199717067
Associated Practice Facility / Clinic
🏢 Therapy One, Pllc Facility NPI 1316163884

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
429 Specialists

Practicing in Mesa, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License None SLP16215

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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
241334 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Lauren Mead , MA, CCC-SLP

Speech-Language Pathologist

NPI 1013494095

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Brenda Del Monte , MA, CCC-SLP

Speech-Language Pathologist

NPI 1033496468

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Cassandra Dechant , CCC-SLP

Speech-Language Pathologist

NPI 1295276855

Speech-Language Pathologist (Certificate of Clinical Competence)

Lauren Dill

Speech-Language Pathologist

NPI 1356236111
Cynthia Brannon , CCC SLP

Speech-Language Pathologist

NPI 1386764470

Speech-Language Pathologist (Certificate of Clinical Competence)

Joseph Mclaws , OTRL

Occupational Therapist

NPI 1386785921

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated June 29, 2025

Recorded as MARY BAVARO, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2025

Speech-Language Pathologist (License #SLP16215 in None)

👤
Provider Name / Credentials Updated March 26, 2025

Recorded as MARY BARNO, CF-SLP

📍
Updated Practice Location February 21, 2025

Registered at 108 W UNIVERSITY DR, MESA, AZ 852015818 (Tel: 6199717067)

📍
Updated Business Mailing Address February 21, 2025

Registered at 3935 E ROUGH RIDER RD UNIT 1112, PHOENIX, AZ 850507354 (Tel: 6199717067)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2025

Speech-Language Pathologist (License #TSLP15638 in None)

NPI Profile Active June 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2016

Registered at 4202 E CACTUS RD, APT 3204, PHOENIX, AZ 850327660 (Tel: 6199717067)

📍
Updated Business Mailing Address June 03, 2016

Registered at 4202 E CACTUS RD, APT 3204, PHOENIX, AZ 850327660 (Tel: 6199717067)

👤
Provider Name / Credentials Updated June 03, 2016

Recorded as MARY BARNO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2016

Specialist/Technologist (License #SLPA10026 in AZ)

🟢
Initial NPI Registration & Enumeration June 03, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003265794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2016
Last Update: June 29, 2025
Sole Proprietor: No

Mailing Address

3935 E Rough Rider Rd Unit 1112

Phoenix, AZ 850507354

Phone: 6199717067

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.