Individual
BEVERLY PLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC
Contact information
Practice address
311 W YALE LOOP, IRVINE, CA 92604-4736
(949) 936-8657
Mailing address
311 W YALE LOOP, IRVINE, CA 92604-4736
(949) 936-8657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6904
CA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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