Individual
NICOLE SCALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1725 HERMITAGE BLVD, TALLAHASSEE, FL 32308-7709
(850) 325-6301
Mailing address
2110 JACKSON BLUFF RD, APARTMENT 6, TALLAHASSEE, FL 32304-8210
(561) 506-4796
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
12301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12301
CERTIFICATION BOARD FOR MUSIC THERAPISTS
FL
Enumeration date
04/15/2016
Last updated
04/15/2016
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