Individual
DR. ADDYSON R TUCKER THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PSYD
Contact information
Practice address
22 PARSONAGE ST # 159, PROVIDENCE, RI 02903-4758
(401) 216-7877
(401) 489-7909
Mailing address
22 PARSONAGE ST # 159, PROVIDENCE, RI 02903-4732
(401) 216-7877
(401) 489-7909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
10739
MA
103TC0700X
Clinical Psychologist
Primary
PS01864
RI
Other
Enumeration date
03/14/2016
Last updated
11/11/2024
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