Individual
JILL MARIE DIFEBBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3537 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3701
(610) 723-7771
(610) 723-7772
Mailing address
75 CRICKET AVE APT B, ARDMORE, PA 19003-2217
(609) 576-9016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11995
CA
235Z00000X
Speech-Language Pathologist
Primary
SL015154
PA
Other
Enumeration date
01/18/2018
Last updated
11/30/2021
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