Individual
MRS. BEVERLY A. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
(760) 367-1083
Mailing address
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277-2356
(760) 367-1743
(760) 367-1083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9720
CA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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