| Doctor Name: | TESSA TAUCHERT |
| NPI Number: | 1003263187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3341 |
| Business Practice Address: | 19530 Mt Zion Pkwy Cornelius, NC - 280318398 |
| Business Phone Number: | 7049972970 |
| Business Fax Number: | |
| Mailing Address: | 19530 Mt Zion Pkwy, CORNELIUS |
| State: | NC |
| Postal Code: | 280318398 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2016 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2472E0500X |
| License Number: | 3341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Other |
| Taxonomy Specialization: | EEG |
| Taxonomy Definition: | |