Angela Tucker in Shreveport - Speech-language Pathologist

Angela Tucker - NPI 1336264712

Angela Tucker is a Speech-language Pathologist in Shreveport, Louisiana. Angela Tucker practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Angela Tucker is 1336264712. The last update date is 2007-07-08.

Angela Tucker's current location address is 463 Ashley Ridge Blvd Ste 100, Shreveport, Louisiana. You can contact this provider via phone number 3186718772 and fax number 3186718776. The mailing address for Angela Tucker is 463 Ashley Ridge Blvd Ste 100, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Tucker
Address 463 Ashley Ridge Blvd Ste 100, Shreveport, Louisiana
Phone Number 3186718772
Fax Number 3186718776
Sole Proprietor N
Credentials SPEECH THE

NPI Number Detail

NPI Number 1336264712
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 463 Ashley Ridge Blvd Ste 100
City Shreveport
State Louisiana (LA)
Post Code 711067231
Phone Number 3186718772
Fax Number 3186718776

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 4197
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
4197 LA STATE LICENSE

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FAQs about Angela Tucker

What is the unique 10-digit identifier code issued to Angela Tucker by the Centers for Medicare & Medicaid Services?

The Angela Tucker has been assigned the NPI (National Provider Identifier) 1336264712 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

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

The Angela Tucker is situated at the following address: 463 Ashley Ridge Blvd Ste 100, Shreveport, LA 711067231.

What is the area of specialization for Angela Tucker, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Angela Tucker is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1336264712 to Angela Tucker?

The Angela Tucker received its 1336264712 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.

When was the information regarding Angela Tucker most recently updated?

The details pertaining to the Angela Tucker, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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