Individual
MRS. ASHLEY BROOKE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6746 WALDEN CIRCLE, TALLAHASSEE, FL 32317-8485
(850) 559-7884
Mailing address
6476 WALDEN CIRCLE, TALLAHASSEE, FL 32317-8485
(850) 559-7884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890824900
—
FL
Enumeration date
09/15/2006
Last updated
09/18/2012
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