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 |
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Address | Po Box 235, Lafayette, Alabama |
Phone Number | 3347571490 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MCD, CCC-S |
NPI Number Detail
NPI Number | 1104962083 |
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Provider Enumeration Date | 2007-01-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 235 |
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City | Lafayette |
State | Alabama (AL) |
Post Code | 368620235 |
Phone Number | 3347571490 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
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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 |
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515-38005 | AL | BLUECROSS BLUESHIELD |
Post Comment/ Review Below
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.