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NPI Code Detail

MEDICARE: ELISA DRUKER M.A., CCC/SLP

MEDICARE:   ELISA  DRUKER  M.A., CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist101409TX

General Provider Information

NPI Number : 1215122056
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA DRUKER M.A., CCC/SLP
Provider Business Mailing Address
First Line : 1020 E FREMONT ST
Second Line :
City : LAREDO
State : TX
Zip : 78040-6450
Country : US
Telephone Number : 956-337-4381
Fax Number : 866-796-0556
Provider Business Practice Location Address
First Line : 1020 E FREMONT ST
Second Line :
City : LAREDO
State : TX
Zip : 78040-6450
Country : US
Telephone Number : 956-337-4381
Fax Number : 866-796-0556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2007
Last Update Date : 01/27/2025

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Directions to “ ELISA DRUKER M.A., CCC/SLP” Practice Location

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