MEDICARE: MS. SHANNON SMITH FALCONE CCC-SLP

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	6725	NC

General Provider Information

NPI Number	:	1588930556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHANNON SMITH FALCONE CCC-SLP

Provider Business Mailing Address
First Line	:	606 GORDON ST
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2225
Country	:	US
Telephone Number	:	336-749-7554
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 GORDON ST
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2225
Country	:	US
Telephone Number	:	336-749-7554
Fax Number	:

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

Provider Enumeration Date	:	03/23/2012
Last Update Date	:	04/20/2026

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Directions to “ MS. SHANNON SMITH FALCONE CCC-SLP” Practice Location

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