Individual
DR. RAYMOND TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6565
Mailing address
241 MAXIMILLIAN ST, BATON ROUGE, LA 70802-5934
(608) 219-3979
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1530
LA
Other
Enumeration date
01/21/2020
Last updated
11/27/2023
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