Provider Demographics
NPI:1447048459
Name:DICONDINA, REBECCA ANN (MS)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:DICONDINA
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 JOANNE LN
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-1634
Mailing Address - Country:US
Mailing Address - Phone:215-767-1974
Mailing Address - Fax:
Practice Address - Street 1:2110 PINE ST APT 3F
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6559
Practice Address - Country:US
Practice Address - Phone:215-767-1974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS