Individual
DR. BETTINA SANDERS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
4202 E FOWLER AVE, COMMUNICATION SCIENCES AND DISORDERS-PCD 1017, TAMPA, FL 33620-8001
(813) 974-8804
(813) 974-0822
Mailing address
4202 E FOWLER AVE, COMMUNICATION SCIENCES AND DISORDERS-PCD 1017, TAMPA, FL 33620-8001
(813) 974-8804
(813) 974-0822
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY425
FL
237600000X
Audiologist-Hearing Aid Fitter
AY425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006642800
—
FL
05
—
006642801
—
FL
01
—
S006S
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/23/2006
Last updated
01/22/2013
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