Individual
AMELIA JUAREZ ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC
Contact information
Practice address
2401 PACIFIC COAST HWY STE 206, HERMOSA BEACH, CA 90254-2735
(310) 351-4065
Mailing address
2401 PACIFIC COAST HWY STE 206, HERMOSA BEACH, CA 90254-2735
(310) 351-4065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 7746
CA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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