Provider Demographics
NPI:1669627345
Name:SCALF, TRINA (MA)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:SCALF
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 HAMMOCK RD
Mailing Address - Street 2:
Mailing Address - City:INGLIS
Mailing Address - State:FL
Mailing Address - Zip Code:34449-9542
Mailing Address - Country:US
Mailing Address - Phone:352-586-3877
Mailing Address - Fax:
Practice Address - Street 1:427 N.E. 3RD STREET
Practice Address - Street 2:SUITE C
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-4219
Practice Address - Country:US
Practice Address - Phone:352-586-3877
Practice Address - Fax:352-447-6285
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10446101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health