Feldbaum, Jill Maxine

Feldbaum, Jill Maxine is an sole proprietor health care provider with primary practice located at 8100 Roosevelt Blvd Ste 101 , Philadelphia PA 19152-2900. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Feldbaum, Jill Maxine can be contacted via phone (215) 535-1314.

Contact Information

Primary practice address
8100 Roosevelt Blvd Ste 101 Philadelphia PA 19152-2900
Phone: (215) 535-1314
Fax: (854) 424-2049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL001548L Pennsylvania

Profile Details

NPI number 1376511816
LBN Legal business name Feldbaum, Jill Maxine
Credentials MA-CCC,SP/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2006
Last updated Apr 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376511816 NPPES
Pennsylvania Other SL001548L LICENSE NUMBER

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