| Jill Marie Difebbo, MS, CCC-SLP | |
|
3537 W Chester Pike, Newtown Square, PA 19073-3701 | |
| (610) 723-7771 | |
| (610) 723-7772 |
| Full Name | Jill Marie Difebbo |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3537 W Chester Pike, Newtown Square, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285142729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 11995 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | SL015154 (Pennsylvania) | Primary |
| Provider Name | Avid Pediatric Therapy Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952146623 PECOS PAC ID: 7810433380 Enrollment ID: O20240719002606 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Marie Difebbo, MS, CCC-SLP 75 Cricket Ave Apt B, Ardmore, PA 19003-2217 Ph: (609) 576-9016 | Jill Marie Difebbo, MS, CCC-SLP 3537 W Chester Pike, Newtown Square, PA 19073-3701 Ph: (610) 723-7771 |
Bridget Bolton, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 234 E Chelsea Cir, Newtown Square, PA 19073 Phone: 215-896-1189 | |
Alexis H Mcintyre, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4643 W Chester Pike, Newtown Square, PA 19073 Phone: 610-871-0188 | |
Samantha Alejandra Ward, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4643 W Chester Pike, Newtown Square, PA 19073 Phone: 610-871-0188 | |
T'zuna Bria Publishing Company, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3744 W Chester Pike, Newtown Square, PA 19073 Phone: 610-355-1747 | |
Alicia Marie D'antonio, M.S. CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 Northwood Rd, Newtown Square, PA 19073 Phone: 610-476-0170 | |
Gianna Marie Priolo, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3500 W Chester Pike, Newtown Square, PA 19073 Phone: 610-359-4400 |