Provider Demographics
NPI:1275972275
Name:FALCONE, STEPHANIE A (MT-BC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:FALCONE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 LEHIGH ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3234
Mailing Address - Country:US
Mailing Address - Phone:215-817-5819
Mailing Address - Fax:
Practice Address - Street 1:3434 LEHIGH ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3234
Practice Address - Country:US
Practice Address - Phone:215-817-5819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA09955225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist