Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian Hendricks, MACCC-SLP

Individual provider Early Intervention Provider Agency · NPI 1306488432

Jillian Hendricks, MACCC-SLP is an Early Intervention Provider Agency in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
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Practice location Address checks out

2017 S Colorado St
Philadelphia, PA 19145-2911
Phone: (267) 664-9135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence SL013360 (PA)

Record details

NPI number1306488432
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedOctober 9, 2019
Last updated in NPPESOctober 9, 2019

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