Individual
MS. ELIZABETH SOPHIA FASTUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
121 S EUCLID AVE, WESTFIELD, NJ 07090-2129
(908) 232-2900
Mailing address
30 HAMPSHIRE RD, MIDLAND PARK, NJ 07432-1214
(201) 956-9427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01317300
NJ
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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