Individual
BEVERLY ROSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 N INDIAN HILL BLVD STE 103, CLAREMONT, CA 91711-4644
(909) 964-2897
Mailing address
310 N INDIAN HILL BLVD STE 533, CLAREMONT, CA 91711-4611
(909) 964-2897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7534
CA
Other
Enumeration date
06/08/2018
Last updated
06/16/2018
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