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Individual

ALEA DITILLO MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
77 W BALTIMORE PIKE STE 100B, MEDIA, PA 19063-5639
(610) 850-0340
Mailing address
77 W BALTIMORE PIKE STE 100B, MEDIA, PA 19063-5639
(610) 850-0340

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS011444100
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL017292
PA

Other

Enumeration date
06/30/2022
Last updated
06/03/2026
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