Healthcare Provider Details

I. General information

NPI: 1659917557
Provider Name (Legal Business Name): CALI NICOLE SEBAK MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CALI N SHAFER MS CCC-SLP

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PLEASANT ST
HIGHLAND SPRINGS VA
23075-1221
US

IV. Provider business mailing address

557 WATERBURY DR
GREENSBURG PA
15601-6059
US

V. Phone/Fax

Practice location:
  • Phone: 804-328-4045
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: