Maureen Rachel Ferrucci
Individual provider Active NPI Speech-Language Pathologist · Newfield, NJ
NPI 1306562616 · NPPES record last updated Oct 18, 2022
Key facts
- NPI
- 1306562616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS01173100 (NJ)
- Practice address
- 875 Harding Hwy
Newfield, NJ 08344-5318 - Phone
- (856) 422-2067
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS01173100 | NJ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS01173100 | NJ | Yes |
Addresses
Primary practice location
875 Harding Hwy
Newfield, NJ 08344-5318
Mailing address
875 Harding Hwy
Newfield, NJ 08344-5318
Phone (856) 422-2067
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All providers in Newfield, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.