Healthcare Provider Details

I. General information

NPI: 1942130026
Provider Name (Legal Business Name): WENDY FALKOWSKI MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 SLOOP POINT LOOP RD
HAMPSTEAD NC
28443-2453
US

IV. Provider business mailing address

1310 SLOOP POINT LOOP RD
HAMPSTEAD NC
28443-2453
US

V. Phone/Fax

Practice location:
  • Phone: 910-270-0694
  • Fax: 910-270-9533
Mailing address:
  • Phone: 910-270-0694
  • Fax: 910-270-9533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5825
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: