Active NPI
Liza Hirsch, MA CCC SLP
- Speech-Language Pathologist
- Delaware, OH
National Provider Identifier
1750794020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP10971
- Practice address
- 494 W Central Ave
Delaware, OH 43015-1470 - Phone
- (740) 369-3650
- Fax
- (740) 369-0812
- NPI assigned
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP10971 | OH | Primary |
Addresses
Primary practice location
494 W Central Ave
Delaware, OH 43015-1470
Mailing address
494 W Central Ave
Delaware, OH 43015-1470
Phone (740) 369-3650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2095254 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP10971 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1750794020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 W CENTRAL AVE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151470",
"telephone_number": "740-369-3650",
"fax_number": "740-369-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 W CENTRAL AVE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151470",
"telephone_number": "740-369-3650",
"fax_number": "740-369-0812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "LIZA",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP10971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2095254",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.