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Mrs. Tracy Iranshahr, TRACY
Speech-Language Assistant in Buckeye, Arizona
NPI 1003320334

Tracy Iranshahr is a Speech-Language Assistant based in Buckeye, AZ and is specialized in Speech-Language Assistant. Tracy Iranshahr practices in Buckeye, AZ and has the professional credentials of TRACY. The NPI Number for Tracy Iranshahr is 1003320334 and holds a License No. SLPA10666 (Arizona).

The current practice location address for Tracy Iranshahr is 2745 N Black Rock Rd, Buckeye, AZ and can be reached out via phone at 623-537-7224.

Location: 2745 N Black Rock Rd, Buckeye, AZ, 85396-1813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003320334
Provider Name
Tracy Iranshahr
Credential
TRACY
Provider Entity Type
Individual
Gender
Female
Address
2745 N Black Rock Rd, Buckeye, AZ, 85396-1813
Phone Number
623-537-7224
Fax Number
Provider Enumeration Date
11/22/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D04163830 01 AZ DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
2745 N Black Rock Rd
City
Buckeye
State
Arizona
Zip
85396-1813
Phone Number
623-537-7224
Fax Number
person
Provider Business Mailing Address Details
Address
2745 N Black Rock Rd
City
Buckeye
State
Arizona
Zip
85396-1813
Phone Number
623-537-7224
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
SLPA10666 (Arizona)
Definition
Definition to come...
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