Individual
MRS. MISTY S. TUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
55 SGT PRENTISS DR, SUITE 8, NATCHEZ, MS 39120-4782
(601) 446-8764
(601) 446-8745
Mailing address
55 SGT PRENTISS DR, SUITE 8, NATCHEZ, MS 39120-4782
(601) 446-8764
(601) 446-8745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2548
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126221
—
MS
Enumeration date
10/13/2006
Last updated
07/08/2007
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