Individual
MS. MELISSA DIANNE TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1745 S ALMA SCHOOL RD, SUITE #145, MESA, AZ 85210-3009
(480) 963-3634
(480) 855-8384
Mailing address
7018 W MERCER LN, PEORIA, AZ 85345-6009
(480) 329-8719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLPL 4734
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP4734
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110332
—
AZ
Enumeration date
02/02/2007
Last updated
07/06/2010
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