| Doctor Name: | ELIZABETH DEFUSCO |
| NPI Number: | 1316278773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC, LDTC |
| License Number: | 41YS00056700 |
| Business Practice Address: | 224 Taylors Mills Rd Suite 106 A Manalapan, NJ - 077263281 |
| Business Phone Number: | 7327805060 |
| Business Fax Number: | 7324620992 |
| Mailing Address: | 224 Taylors Mills Rd, Suite 106 A MANALAPAN |
| State: | NJ |
| Postal Code: | 077263281 |
| Phone Number: | 7327805060 |
| Fax Number: | 7324620992 |
| NPI Enumeration Date: | 01/26/2010 |
| NPI Last Update Date: | 01/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS00056700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |