Provider Demographics
NPI:1710494919
Name:QUINN, TIRTSA HELENA (MA)
Entity Type:Individual
Prefix:MRS
First Name:TIRTSA
Middle Name:HELENA
Last Name:QUINN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9012 CRESTA DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-4115
Mailing Address - Country:US
Mailing Address - Phone:310-903-1618
Mailing Address - Fax:
Practice Address - Street 1:9012 CRESTA DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-4115
Practice Address - Country:US
Practice Address - Phone:310-903-1618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist