Individual
MS. ANNA BERRIS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
13223 BLACK MOUNTAIN RD # 1508, SAN DIEGO, CA 92129-2698
(209) 596-2599
Mailing address
13223 BLACK MOUNTAIN RD # 1508, SAN DIEGO, CA 92129-2698
(209) 596-2599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7220
CA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7220
CALIFORNIA SPEECH LANGUAGE ASSOCIATION
CA
Enumeration date
10/16/2024
Last updated
10/16/2024
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