Provider Demographics
NPI:1710205828
Name:SCAVELLI, THERESE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:THERESE
Middle Name:ANN
Last Name:SCAVELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ARCH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1403
Mailing Address - Country:US
Mailing Address - Phone:330-379-8190
Mailing Address - Fax:
Practice Address - Street 1:45 ARCH ST FL 2
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1403
Practice Address - Country:US
Practice Address - Phone:330-379-8190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0984242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry