Provider Demographics
NPI:1447633946
Name:SCAFIDEL, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SCAFIDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 TOWN CENTER PKWY
Mailing Address - Street 2:APARTMENT 4106
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-8041
Mailing Address - Country:US
Mailing Address - Phone:985-351-1140
Mailing Address - Fax:
Practice Address - Street 1:1303 TOWN CENTER PKWY
Practice Address - Street 2:APARTMENT 4106
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-8041
Practice Address - Country:US
Practice Address - Phone:985-351-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist