Individual
MRS. TIFFANY O'CONNOR TRIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1000 S MAIN ST, FLORENCE, AZ 85232
(520) 866-3500
Mailing address
4130 S CORDIA CT, GOLD CANYON, AZ 85218
(602) 402-3025
(480) 982-7080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
616790
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616790
—
AZ
Enumeration date
01/30/2007
Last updated
07/09/2007
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