Provider Demographics
NPI:1235509738
Name:FERRIOLO-TIRB, MARIE ELIZABETH (MS, CCC-SLP, IBCLC)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:ELIZABETH
Last Name:FERRIOLO-TIRB
Suffix:
Gender:F
Credentials:MS, CCC-SLP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5522 E COUNTY ROAD 900 N
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:IN
Mailing Address - Zip Code:46167-9125
Mailing Address - Country:US
Mailing Address - Phone:734-834-3720
Mailing Address - Fax:
Practice Address - Street 1:5522 E COUNTY ROAD 900 N
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:IN
Practice Address - Zip Code:46167-9125
Practice Address - Country:US
Practice Address - Phone:734-834-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0001028235Z00000X
IN22007967A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist