Healthcare Provider Details

I. General information

NPI: 1225951452
Provider Name (Legal Business Name): ALANA JADE MRAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 N 16TH ST
PHOENIX AZ
85016-2903
US

IV. Provider business mailing address

6909 E OSBORN RD UNIT A
SCOTTSDALE AZ
85251-6224
US

V. Phone/Fax

Practice location:
  • Phone: 602-664-7900
  • Fax:
Mailing address:
  • Phone: 847-732-5619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP17654
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: