Healthcare Provider Details

I. General information

NPI: 1164346276
Provider Name (Legal Business Name): MARY AVRIL GONZALEZ APLASCA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1526 E ROMNEYA DR
ANAHEIM CA
92805-1214
US

IV. Provider business mailing address

686 S DISTRICT WAY
ANAHEIM CA
92805-4709
US

V. Phone/Fax

Practice location:
  • Phone: 714-517-8902
  • Fax:
Mailing address:
  • Phone: 714-360-2452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number32886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: