MEDICARE: MRS. MICHELLE T PERNELL MS, 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	4481	NC

General Provider Information

NPI Number	:	1992725725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE T PERNELL MS, CCC-SLP

Provider Business Mailing Address
First Line	:	638 SPARTANBURG HWY STE 70
Second Line	:
City	:	HENDERSONVILLE
State	:	NC
Zip	:	28792-5921
Country	:	US
Telephone Number	:	828-329-6186
Fax Number	:	828-528-3467

Provider Business Practice Location Address
First Line	:	638 SPARTANBURG HWY STE 705
Second Line	:
City	:	HENDERSONVILLE
State	:	NC
Zip	:	28792-5910
Country	:	US
Telephone Number	:	828-329-6186
Fax Number	:	828-528-3467

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	06/15/2026

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Directions to “ MRS. MICHELLE T PERNELL MS, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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