Individual
JORDAN NICOLE DEFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2300 GALLBERRY LN, WAXHAW, NC 28173-0161
(704) 649-4509
Mailing address
1009 BACK STRETCH BLVD, INDIAN TRAIL, NC 28079-5753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30005279
NC
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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