Individual
JAKE BILODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 ERNST ST, PHILADELPHIA, PA 19147-4623
(856) 994-7475
Mailing address
933 ERNST ST, PHILADELPHIA, PA 19147-4623
(856) 994-7475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL018265
PA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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