| Doctor Name: | ROSE BRYANT TUCKETT |
| NPI Number: | 1205981206 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 006900 |
| Business Practice Address: | 23 Old Snake Hill Road Pound Ridge, NY - 105762101 |
| Business Phone Number: | 9147644413 |
| Business Fax Number: | |
| Mailing Address: | 23 Old Snake Hill Road, POUND RIDGE |
| State: | NY |
| Postal Code: | 105762101 |
| Phone Number: | 9147644413 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 006900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |