Provider Demographics
NPI:1104503705
Name:SKOLTE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SKOLTE
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 1:327 MARSCHALL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-1680
Mailing Address - Country:US
Mailing Address - Phone:952-445-1474
Mailing Address - Fax:
Practice Address - Street 1:327 MARSCHALL RD STE 200
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-1680
Practice Address - Country:US
Practice Address - Phone:952-445-1474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2920237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist