Camryn Stallwood

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13589 Issued in AZ

Practice address

821 E 47TH St
Tucson, AZ 85713-5009

Phone

(520) 232-2021

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapy Group of Tucson, LLC

  dba Odyssey Autism ABA Therapy

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1639322134
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1457923336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2689 W AVENIDA AZAHAR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857453513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E 47TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135009",
            "telephone_number": "520-232-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWOOD",
        "first_name": "CAMRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshana Stahl
• Davis William Staley, DPT
• Joseph Alexander Staley
• Valerie Staley
• Chris Stallman, MS, LCGC
• Sydni Leigh Stallworth
• Rhonda Stam, LMT
• Becky Stambaugh-Heller, CST, SFA
• Paul Leslie Stamer, PA-C
• Debra E Stamp, NP-C

• Speech-Language Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.