Individual
DR. JERITT ROSS TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
700 S FLOWER ST STE 1000, LOS ANGELES, CA 90017-4112
(213) 600-6096
Mailing address
700 S FLOWER ST STE 1000, LOS ANGELES, CA 90017-4112
(213) 600-6096
(617) 665-3449
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
083818
IA
103TC1900X
Counseling Psychologist
Primary
31412
CA
Other
Enumeration date
03/23/2015
Last updated
11/19/2019
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