Provider Demographics
NPI:1487026282
Name:FALCONE, ANTONIA (MA, CFY-SLP)
Entity Type:Individual
Prefix:
First Name:ANTONIA
Middle Name:
Last Name:FALCONE
Suffix:
Gender:F
Credentials:MA, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1187 COLLEGEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1013
Mailing Address - Country:US
Mailing Address - Phone:610-420-4749
Mailing Address - Fax:
Practice Address - Street 1:321 GRAVEL PIKE
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-1835
Practice Address - Country:US
Practice Address - Phone:484-973-6226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program