Provider Demographics
NPI:1669674511
Name:SCARPELLI, PAWN (CHILD DEVELOPMENT SP)
Entity Type:Individual
Prefix:
First Name:PAWN
Middle Name:
Last Name:SCARPELLI
Suffix:
Gender:F
Credentials:CHILD DEVELOPMENT SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SOMERSET CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6112
Mailing Address - Country:US
Mailing Address - Phone:847-409-4776
Mailing Address - Fax:847-991-3793
Practice Address - Street 1:4 SOMERSET CT.
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010
Practice Address - Country:US
Practice Address - Phone:847-409-4776
Practice Address - Fax:847-991-3793
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist