Lisa Ayvazian Hacobian, M.S, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19856 Issued in CA

Practice address

557 E Verdugo Ave
Unit J
Burbank, CA 91501-2365

Phone

(818) 618-6964

Fax

(818) 558-1385

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1740670074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E VERDUGO AVE",
            "address_2": "UNIT J",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012365",
            "telephone_number": "818-618-6964",
            "fax_number": "818-558-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E VERDUGO AVE",
            "address_2": "UNIT J",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012365",
            "telephone_number": "818-618-6964",
            "fax_number": "818-558-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACOBIAN",
        "first_name": "LISA",
        "middle_name": "AYVAZIAN",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Farouk Habashy, MD
• Tehya Hackman
• David Siamanto Hacobian, PA
• Elma Hacopian, FNP
• Sedi Hadadian, MD
• Danny Elias Hadaya, DDS
• Najah Haddad-Hadaya, DDS
• Devan Haddad

• Speech-Language Pathologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.