Individual
MRS. BEVERLY ANN DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2031 E ORANGETHORPE AVE, PLACENTIA, CA 92870-6723
(714) 279-6001
(714) 279-6025
Mailing address
1048 IRVINE AVE, # 469, NEWPORT BEACH, CA 92660-4602
(949) 675-5746
(949) 675-2638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3885
SLP STATE LICENSE NUMBER
CA
Enumeration date
04/08/2007
Last updated
07/08/2007
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