| Jillian De Luca, MS CCC/SLP | |
|
5901 Holabird Ave, Baltimore, MD 21224-6015 | |
| (630) 202-8180 | |
| Not Available |
| Full Name | Jillian De Luca |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 5901 Holabird Ave, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619224086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 06966 (Maryland) | Primary |
| Provider Name | Renew Speech Language Pathology |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730619875 PECOS PAC ID: 0648540450 Enrollment ID: O20170726002367 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian De Luca, MS CCC/SLP 10941 Hilltop Ln Apt 108, Columbia, MD 21044-3782 Ph: (610) 220-2593 | Jillian De Luca, MS CCC/SLP 5901 Holabird Ave, Baltimore, MD 21224-6015 Ph: (630) 202-8180 |
Mrs. Megan Nese, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3138 Fait Ave, Baltimore, MD 21224 Phone: 410-325-4000 | |
Mrs. Chaya Brenner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6414 Park Hts, Suite T1, Baltimore, MD 21215 Phone: 410-318-8561 Fax: 866-840-6040 | |
Ms. Holly Fredrickson, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3855 Greenspring Ave, Baltimore, MD 21211 Phone: 410-225-9160 | |
Emily Kathryn Dreschel, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Baltimore, MD 21205 Phone: 443-923-1872 | |
Miss Chaya Rachel Segel, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 104 Church Ln Ste 203, Baltimore, MD 21208 Phone: 410-849-9496 | |
Rachel Weeks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 112 S Patterson Park Ave Apt 4, Baltimore, MD 21231 Phone: 443-520-5758 | |
Ms. Laura Ashley Classick, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6600 Ridge Rd, Baltimore, MD 21237 Phone: 410-574-4950 |