Individual
JOSEPH T TUCCIARONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGY INTERN
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3858
TN
103TC0700X
Clinical Psychologist
3858
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q077634
—
TN
Enumeration date
08/06/2020
Last updated
04/15/2026
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