Individual
MRS. ALISON MARSH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED CCCSLP CERT AVT
Contact information
Practice address
1875 CENTURY BLVD NE STE 200, ATLANTA, GA 30345-3314
(404) 633-8911
(404) 633-6403
Mailing address
1875 CENTURY BLVD NE STE 200, ATLANTA, GA 30345-3314
(404) 633-8911
(404) 633-6403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048342119A
—
GA
Enumeration date
02/08/2006
Last updated
04/28/2022
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