Individual
CARLENE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4006 BYRON RD., WILMINGTON, DE 19802
(302) 762-6331
(302) 762-6331
Mailing address
4006 BYRON RD., WILMINGTON, DE 19802
(302) 762-6331
(302) 762-6331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000170
DE
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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