Individual
MRS. EMILY SS TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
851 FREMONT AVE, SUITE 105, LOS ALTOS, CA 94024-5698
(650) 390-4115
Mailing address
851 FREMONT AVENUE, SUITE 105, LOS ALTOS, CA 94024
(650) 390-4115
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
019460
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY25422
CA
Other
Enumeration date
10/06/2008
Last updated
02/01/2013
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