Provider Demographics
NPI:1043197031
Name:MACDONALD, JABRAYA
Entity type:Individual
Prefix:
First Name:JABRAYA
Middle Name:
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PRINTZ AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19074-1713
Mailing Address - Country:US
Mailing Address - Phone:484-802-8746
Mailing Address - Fax:
Practice Address - Street 1:630 CHURCHMANS RD STE 100A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1943
Practice Address - Country:US
Practice Address - Phone:484-802-8746
Practice Address - Fax:484-802-8746
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist