Individual
GREYSON TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 CORPORATE PARK DR, CLAYTON, MO 63105-4201
(314) 725-7447
Mailing address
401 CORPORATE PARK DR, CLAYTON, MO 63105-4201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019019658
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235Z00000X
TAXONOMY
—
Enumeration date
08/27/2019
Last updated
11/27/2023
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