Organization
RICHLAND COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN BREVOORT TUCKER PH.D. (MANAGING DIRECTOR)
(215) 643-3011
Entity
Organization
Contact information
Practice address
200 APPLE ST STE 4, QUAKERTOWN, PA 18951-1645
(215) 858-1674
Mailing address
PO BOX 1102, QUAKERTOWN, PA 18951-0049
(215) 643-3011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043388762
ANN B TUCKER NPI
—
01
—
1664450
BEACON
—
01
—
247500000
MAGELLAN
—
01
—
488136000
IBX
—
01
—
5386083
AETNA
—
01
—
PS-008240-L
PA LICENSE
PA
Enumeration date
04/29/2019
Last updated
04/29/2019
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