| Alea Ditillo Moody, | |
|
77 W Baltimore Pike Ste 100b, Media, PA 19063-5639 | |
| (610) 850-0340 | |
| Not Available |
| Full Name | Alea Ditillo Moody |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 77 W Baltimore Pike Ste 100b, Media, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649902289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 41YS011444100 (New Jersey) | Secondary |
| 235Z00000X | Speech-language Pathologist | SL017292 (Pennsylvania) | Primary |
| Provider Name | Mj Kidz, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316361033 PECOS PAC ID: 4688021595 Enrollment ID: O20231115001231 |
| Mailing Address | Practice Location Address |
|---|---|
| Alea Ditillo Moody, 77 W Baltimore Pike Ste 100b, Media, PA 19063-5639 Ph: (610) 850-0340 | Alea Ditillo Moody, 77 W Baltimore Pike Ste 100b, Media, PA 19063-5639 Ph: (610) 850-0340 |
Michelle Rose Baldwin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 S Olive St, Media, PA 19063 Phone: 610-745-2233 | |
Colleen Marie Finegan, MS CCC SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 411 N Middletown Rd, Media, PA 19063 Phone: 610-565-8717 | |
Kerry Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 853 Parkridge Drive, Media, PA 19063 Phone: 610-742-5291 | |
Ranisha Nelson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1048 W Baltimore Pike, Media, PA 19063 Phone: 610-891-3777 | |
Mr. Michael John Meehan, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 Martins Ln, Media, PA 19063 Phone: 610-328-7037 | |
Mrs. Dorothy Lynn Celebre, M.A. C.C.C./S.L.P. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 S Plum St, Media, PA 19063 Phone: 610-565-1445 Fax: 610-565-1660 | |
Wall To Wall Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Veterans Sq, Media, PA 19063 Phone: 302-401-1121 |