Organization
INCEPTUS PSYCHOLOGICAL & CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMEKA MALLARD TUCKER PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(703) 786-5486
Entity
Organization
Contact information
Practice address
709 PENDLETON ST STE 202, ALEXANDRIA, VA 22314-1820
(703) 786-5486
(703) 842-8746
Mailing address
709 PENDLETON ST STE 202, ALEXANDRIA, VA 22314-1820
(703) 786-5486
(703) 842-8746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701007049
VA
103TC0700X
Clinical Psychologist
Primary
0810004954
VA
Other
Enumeration date
06/25/2017
Last updated
07/21/2022
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