Individual
REBECCA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
510 S JACKSON ST, TULLAHOMA, TN 37388-3468
(423) 622-1551
(877) 856-7133
Mailing address
PO BOX 8114, CHATTANOOGA, TN 37414-0114
(423) 622-1551
(877) 856-7133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6279
TN
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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