Beryl Avila Fogel, M.A. CCC-SLP
NPI #1437757531 in Hermosa Beach, California
Provider Information
- NPI Number
- 1437757531
- Entity Type
- Individual
- Name
- Beryl Avila Fogel, M.A. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC-SLP
- Enumeration Date
- Oct 12, 2020
- Last Updated
- Oct 12, 2020
Practice Location
- Address
- 3000 TENNYSON PL
- City
- Hermosa Beach
- State
- California
- ZIP Code
- 90254-2262
- Phone
- (310) 480-1862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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