MEDICARE: ISABELLA FACCONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	61596109	WA

General Provider Information

NPI Number	:	1376363796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELLA FACCONE

Provider Business Mailing Address
First Line	:	1705 S OBERLIN RD
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-3398
Country	:	US
Telephone Number	:	253-720-1659
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 N MOLTER RD
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-8603
Country	:	US
Telephone Number	:	509-558-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2024
Last Update Date	:	10/10/2024

Similar Medicare Providers

1952259939 — ALLISON GREENE
Practice Location Address:

2218 N MOLTER RD
LIBERTY LAKE, WA
99019-8603

Practice Phone: 509-558-5400
Practice Fax:

1982033262 — ANGELA MABRY
Practice Location Address:

2218 N MOLTER RD
LIBERTY LAKE, WA
99019-8603

Practice Phone: 509-558-5500
Practice Fax:

1336006394 — RILEIGH MAYNARD
Practice Location Address:

2218 N MOLTER RD
LIBERTY LAKE, WA
99019-8603

Practice Phone: 509-558-5400
Practice Fax:

1255336418 — KATHLEEN M ROBBINS MD
Practice Location Address:

2265 BAGNELL DAM BLVD , STE 103
LAKE OZARK, MO
65049-8603

Practice Phone: 573-964-5599
Practice Fax: 573-365-6011

1184604910 — DR. DONALD L. WILHELM M.D.
Practice Location Address:

2221 BAGNELL DAM BLVD
LAKE OZARK, MO
65049-8603

Practice Phone: 573-635-5264
Practice Fax: 573-556-5757

1316993256 — SSM REGIONAL HEALTH SERVCIES
Practice Location Address:

2265 BAGNELL DAM BLVD , STE 103
LAKE OZARK, MO
65049-8603

Practice Phone: 573-365-6800
Practice Fax: 573-365-6011

Directions to “ ISABELLA FACCONE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.