Healthcare Provider Details

I. General information

NPI: 1477484004
Provider Name (Legal Business Name): SARAH SCALISE MA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6071 SE CROOKED OAK AVE
HOBE SOUND FL
33455-8311
US

IV. Provider business mailing address

6071 SE CROOKED OAK AVE
HOBE SOUND FL
33455-8311
US

V. Phone/Fax

Practice location:
  • Phone: 585-645-5956
  • Fax:
Mailing address:
  • Phone: 585-645-5956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP4586
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101009978
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA21311
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: