Provider Demographics
NPI:1962255521
Name:ROUPINIAN, ARDA TAMARA
Entity type:Individual
Prefix:
First Name:ARDA
Middle Name:TAMARA
Last Name:ROUPINIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARDA
Other - Middle Name:TAMARA
Other - Last Name:JIMIAN / JIZMEJIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5523 VILLAWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3107
Mailing Address - Country:US
Mailing Address - Phone:818-337-9192
Mailing Address - Fax:
Practice Address - Street 1:13400 RIVERSIDE DR STE 209
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2545
Practice Address - Country:US
Practice Address - Phone:818-308-6226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60002355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant