Individual
MS. SHANNON L TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED/ CAS/ NCSP
Contact information
Practice address
1 RAPP RD, ALBANY, NY 12203
(518) 867-3061
Mailing address
1 RAPP RD, ALBANY, NY 12203
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3513156
NY
103TS0200X
School Psychologist
42110
—
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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