Individual
TIRZA SOESILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1979 E BALBOA DR, TEMPE, AZ 85282-2861
(602) 935-5410
Mailing address
1979 E BALBOA DR, TEMPE, AZ 85282-2861
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15714
AZ
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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