Individual
JOY DIEFFENDERFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 CRESCENT CT W, WHITEHALL, PA 18052-3446
(610) 767-7667
Mailing address
3721 CRESCENT CT W, WHITEHALL, PA 18052-3446
(610) 767-7667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12142675
ASHA LICENSE
PA
01
—
SL009120
PA STATE LICENSE
PA
Enumeration date
11/05/2009
Last updated
01/26/2011
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