Individual
RYAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 MAIN ST, GREENSBORO, AL 36744-1552
(334) 624-3950
Mailing address
1502 MAIN ST, GREENSBORO, AL 36744-1552
(334) 624-3950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5391
AL
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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