Healthcare Provider Details
I. General information
NPI: 1972043438
Provider Name (Legal Business Name): DRUCILLA FIGUEROA MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/03/2017
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 S ELMORA AVE
ELIZABETH NJ
07202-3100
US
IV. Provider business mailing address
1000 S ELMORA AVE
ELIZABETH NJ
07202-3100
US
V. Phone/Fax
- Phone: 908-436-6396
- Fax:
- Phone: 914-318-8104
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: