Individual
ELIZABETH DEFUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC, LDTC
Contact information
Practice address
224 TAYLORS MILLS RD, SUITE 106 A, MANALAPAN, NJ 07726-3281
(732) 780-5060
(732) 462-0992
Mailing address
224 TAYLORS MILLS RD, SUITE 106 A, MANALAPAN, NJ 07726-3281
(732) 780-5060
(732) 462-0992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00056700
NJ
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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