Individual
DR. JENNIFER LYNN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
2495 SHREVEPORT HWY 71, PINEVILLE, LA 71360
(318) 466-4167
Mailing address
PO BOX 69004, MAIL CODE: 116B, ALEXANDRIA, LA 71306-9004
(318) 466-4167
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1121
LA
Other
Enumeration date
12/13/2010
Last updated
10/24/2014
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