Individual
ALISA TAGVORYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(818) 788-1003
Mailing address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(818) 788-1003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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