Paul Tucker in Konawa - Clinical

Paul Tucker - NPI 1861574717

Paul Tucker is a Clinical in Konawa, Oklahoma. Paul Tucker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Tucker is 1861574717. The last update date is 2015-04-02.

Paul Tucker's current location address is 527 W 3rd St, Konawa, Oklahoma. You can contact this provider via phone number 5809253286 and fax number 5809252362. The mailing address for Paul Tucker is 527 W 3rd St, Konawa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Tucker
Address 527 W 3rd St, Konawa, Oklahoma
Phone Number 5809253286
Fax Number 5809252362
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1861574717
Provider Enumeration Date 2006-10-19
Last Updated Date 2015-04-02

Provider Mailing Address Detail

Address 527 W 3rd St
City Konawa
State Oklahoma (OK)
Post Code 74849
Phone Number 5809253286
Fax Number 5809252362

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2063
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Paul Tucker

What is the unique identifier code issued to Paul Tucker by the Centers for Medicare & Medicaid Services (CMS)?

The Paul Tucker has been assigned the NPI (National Provider Identifier) 1861574717. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Paul Tucker?

The Paul Tucker is physically situated at 527 W 3Rd St, in the city of Konawa, state of OK, with the postal code 74849.

What is Paul Tucker's specialized field of practice, and what is the corresponding taxonomy classification code?

The Paul Tucker's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Paul Tucker receive the assignment of its 1861574717 from the Centers for Medicare & Medicaid Services?

The Paul Tucker was issued its 1861574717 by the Centers for Medicare & Medicaid Services on 2006-10-19.

When was the information regarding Paul Tucker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Paul Tucker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-02.

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