Healthcare Provider Details

I. General information

NPI: 1386554335
Provider Name (Legal Business Name): HAKOUPIAN SPEECH THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 CENTER RD
NOVATO CA
94947-1942
US

IV. Provider business mailing address

2640 CENTER RD
NOVATO CA
94947-1942
US

V. Phone/Fax

Practice location:
  • Phone: 650-278-3696
  • Fax:
Mailing address:
  • Phone: 650-278-3696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOYCE HAKOUPIAN
Title or Position: OWNER/CEO
Credential: M.A. CCC-SLP
Phone: 650-278-3696