# TUCKER PSYCHIATRIC CLINIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003911256
- **Authorized official:** DR. DAVID GOULD III M.D. (PRESIDENT)
- **Authorized official phone:** (804) 320-7881

## Contact information

- **Practice address:** 7149 JAHNKE RD, RICHMOND, VA 23225-4017
- **Practice address phone:** (804) 320-7881
- **Practice address fax:** (804) 320-2050
- **Mailing address:** 7149 JAHNKE RD, RICHMOND, VA 23225-4017
- **Mailing address phone:** (804) 320-7881
- **Mailing address fax:** (804) 320-2050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 02/28/2008