Provider Demographics
NPI:1568621738
Name:STRAZZE, TIFFANY ANN (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:ANN
Last Name:STRAZZE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 HOOKSETT RD UNIT 303
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1831
Mailing Address - Country:US
Mailing Address - Phone:603-608-9295
Mailing Address - Fax:
Practice Address - Street 1:2 PILLSBURY ST
Practice Address - Street 2:SUITE #404
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3523
Practice Address - Country:US
Practice Address - Phone:603-228-7827
Practice Address - Fax:603-228-7828
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1126235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist