# MRS. TRACY IRANSHAHR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003320334
- **Gender:** F
- **Credential:** TRACY

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2355S0801X | Speech-Language Assistant | SLPA10666 | AZ | Yes |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 11/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D04163830 | DRIVERS LICENSE | AZ |