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

MS. Jill Maxine Feldbaum, MA-CCC, SP/L

Individual provider Speech-Language Pathologist · NPI 1376511816

MS. Jill Maxine Feldbaum, MA-CCC, SP/L is a Speech-Language Pathologist in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

8100 Roosevelt Blvd Ste 101
Philadelphia, PA 19152-2900
Phone: (215) 535-1314
Fax: (854) 424-2049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8100 Roosevelt Blvd Ste 103, Philadelphia, PA 19152-2900 — (215) 535-1314

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL001548L (PA)

Record details

NPI number1376511816
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA-CCC , SP/L
Sole proprietorYes
NPI enumeratedMarch 10, 2006
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

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