Provider Demographics
NPI:1114572328
Name:SCARPINO, SHELLEY E (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:E
Last Name:SCARPINO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 ALYSSA CT
Mailing Address - Street 2:
Mailing Address - City:NEW TRIPOLI
Mailing Address - State:PA
Mailing Address - Zip Code:18066-3052
Mailing Address - Country:US
Mailing Address - Phone:570-594-2450
Mailing Address - Fax:
Practice Address - Street 1:3535 ALYSSA CT
Practice Address - Street 2:
Practice Address - City:NEW TRIPOLI
Practice Address - State:PA
Practice Address - Zip Code:18066-3052
Practice Address - Country:US
Practice Address - Phone:570-594-2450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005602L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist