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Individual

MELISSA ANN TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-6683
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 731-8798

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15634
OR
235Z00000X
Speech-Language Pathologist
Primary
5474
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14073322
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
01
15634
OREGON BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
OR
Enumeration date
04/25/2018
Last updated
03/18/2024
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