Individual
CHRISTY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5646 MILTON ST, SUITE 875, DALLAS, TX 75206-3907
(512) 923-8825
(214) 987-9101
Mailing address
5646 MILTON ST, SUITE 875, DALLAS, TX 75206-3907
(512) 923-8825
(214) 987-9101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36780
TX
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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