Provider Demographics
NPI:1578738894
Name:MASUCCI, CARA ELEANOR (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:ELEANOR
Last Name:MASUCCI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MISSION HILLS CT
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2553
Mailing Address - Country:US
Mailing Address - Phone:732-671-1853
Mailing Address - Fax:
Practice Address - Street 1:100 MATAWAN RD STE 325
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3590
Practice Address - Country:US
Practice Address - Phone:908-304-3053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00522700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist