Edwena Raylene Tucker in Fort Worth - Speech-language Pathologist
Edwena Raylene Tucker - NPI 1255531299
Edwena Raylene Tucker is a Speech-language Pathologist in Fort Worth, Texas. Edwena Raylene Tucker practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Edwena Raylene Tucker is 1255531299. The last update date is 2007-07-18.
Edwena Raylene Tucker's current location address is 2300 Gravel Dr, Fort Worth, Texas. You can contact this provider via phone number 8175897033. The mailing address for Edwena Raylene Tucker is 2300 Gravel Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwena Raylene Tucker |
|---|---|
| Address | 2300 Gravel Dr, Fort Worth, Texas |
| Phone Number | 8175897033 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | S.L.P. |
NPI Number Detail
| NPI Number | 1255531299 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2007-07-18 |
Provider Mailing Address Detail
| Address | 2300 Gravel Dr |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761186950 |
| Phone Number | 8175897033 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 10546 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85064T | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Edwena Raylene Tucker by the Centers for Medicare & Medicaid Services?
The Edwena Raylene Tucker has been issued the NPI (National Provider Identifier) 1255531299. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edwena Raylene Tucker is located?
The Edwena Raylene Tucker is situated at the following address: 2300 Gravel Dr, Fort Worth, TX, 761186950.
What is Edwena Raylene Tucker's area of expertise and its corresponding taxonomy classification?
The Edwena Raylene Tucker's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1255531299 to Edwena Raylene Tucker?
The Edwena Raylene Tucker received its 1255531299 assignment from the Centers for Medicare & Medicaid Services on 2007-07-18.
As of what date were the details pertaining to Edwena Raylene Tucker last refreshed?
The information related to the Edwena Raylene Tucker, including its address, specialty, and other relevant details, was last updated on 2007-07-18.