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Individual

CHRISTINE MCDOWELL TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
100 E SOUTH ST, SUITE 5, CHARLOTTESVILLE, VA 22902-5215
(434) 971-4747
(434) 293-4690
Mailing address
100 E SOUTH ST, SUITE 5, CHARLOTTESVILLE, VA 22902-5215
(434) 971-4747
(434) 293-4690

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001941
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036808
VALUE OPTIONS
01
061336
ANTHEM BLUE CROSS
01
082060
SENTARA MENTAL HEALTH
01
173900
COMPSYCH
01
2179122
FIRST HEALTH
01
254572000
MAGELLAN
01
344334
MHN
01
541758783
VIRGINIA HEALTH NETWORK
01
7704844
VIRGINIA PREMIER
05
7704844
VA
Enumeration date
05/10/2006
Last updated
02/05/2009
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