Individual
MR. MATTHEW TIRTAJAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDS
Contact information
Practice address
890 S 10TH ST BLDG C, FRESNO, CA 93702-3506
(559) 457-3220
Mailing address
890 S 10TH ST BLDG C, FRESNO, CA 93702-3506
(559) 457-3220
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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