Provider Demographics
NPI:1245272681
Name:DREYFUSS, ELAINE EMILY (MSCCC/SLP)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:EMILY
Last Name:DREYFUSS
Suffix:
Gender:F
Credentials:MSCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 GUILFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1406
Mailing Address - Country:US
Mailing Address - Phone:856-751-1133
Mailing Address - Fax:856-751-1133
Practice Address - Street 1:661 GUILFORD RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1406
Practice Address - Country:US
Practice Address - Phone:856-751-1133
Practice Address - Fax:856-751-1133
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00078400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist