Jillian De Luca, MS CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06966 Issued in MD

Practice address

5901 Holabird Ave
Baltimore, MD 21224-6015

Phone

(630) 202-8180

NPI assigned

Aug 5, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1619224086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10941 HILLTOP LN APT 108",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443782",
            "telephone_number": "610-220-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HOLABIRD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246015",
            "telephone_number": "630-202-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUCA",
        "first_name": "JILLIAN",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-05",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Nicole De la Torre, MS,RD,LDN
• Cecille De Lara
• Barbara De Lateur, M.D.
• Dennis Artiga De Leon, PT
• Jeronimo De Llano, MD
• Joseph De Marco, PSY.D.
• Sandra De Mel, MD
• Flavio De Mendonca Copello Sr., DDS, PHD
• Taylor De Natale
• Russell De Ocampo

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.