Kelly A Tucker in Lafayette - Speech-language Pathologist

Kelly A Tucker - NPI 1104962083

Kelly A Tucker is a Speech-language Pathologist in Lafayette, Alabama. Kelly A Tucker practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly A Tucker is 1104962083. The last update date is 2007-07-08.

Kelly A Tucker's current location address is Po Box 235, Lafayette, Alabama. You can contact this provider via phone number 3347571490. The mailing address for Kelly A Tucker is Po Box 235, Lafayette, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly A Tucker
Address Po Box 235, Lafayette, Alabama
Phone Number 3347571490
Fax Number
Sole Proprietor Y
Credentials MCD, CCC-S

NPI Number Detail

NPI Number 1104962083
Provider Enumeration Date 2007-01-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 235
City Lafayette
State Alabama (AL)
Post Code 368620235
Phone Number 3347571490
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 1810
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
515-38005 AL BLUECROSS BLUESHIELD

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FAQs about Kelly A Tucker

What is the Kelly A Tucker's unique identification number?

The Kelly A Tucker has been assigned the NPI (National Provider Identifier) Number 1104962083 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Kelly A Tucker is physically located?

The Kelly A Tucker is situated at the following address: Po Box 235, Lafayette, AL 368620235.

What is Kelly A Tucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kelly A Tucker is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104962083 to Kelly A Tucker?

The Centers for Medicare & Medicaid Services assigned the 1104962083 to Kelly A Tucker on 2007-01-29.

As of what date were the details pertaining to Kelly A Tucker last refreshed?

The information related to the Kelly A Tucker, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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