Healthcare Provider Details

I. General information

NPI: 1649643248
Provider Name (Legal Business Name): KATHLEEN SACASA M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5738 US 25/70 HWY
MARSHALL NC
28753-6364
US

IV. Provider business mailing address

66 BROWNWOOD AVE
ASHEVILLE NC
28806-4542
US

V. Phone/Fax

Practice location:
  • Phone: 828-649-9276
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 13942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: