| Doctor Name: | AMANDA V TUCKER |
| NPI Number: | 1073995221 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.A. |
| License Number: | |
| Business Practice Address: | 327 S K St Tulare, CA - 932745416 |
| Business Phone Number: | 5596882043 |
| Business Fax Number: | 5596881304 |
| Mailing Address: | 327 S K St, TULARE |
| State: | CA |
| Postal Code: | 932745416 |
| Phone Number: | 5596882043 |
| Fax Number: | 5596881304 |
| NPI Enumeration Date: | 06/24/2015 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |