Individual
DR. CAROLYN M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0237
(352) 273-5159
(352) 273-5213
Mailing address
PO BOX 100237, GAINESVILLE, FL 32610-0237
(352) 273-5159
(352) 273-5213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY2802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272330100
—
FL
Enumeration date
07/17/2006
Last updated
10/07/2015
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