NPI 1255531299 EDWENA RAYLENE TUCKER S.L.P. FORT WORTH TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Edwena Raylene Tucker - NPI: 1255531299

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: EDWENA RAYLENE TUCKER
NPI Number: 1255531299
Entity Type Code: Individual (1)
Gender: F
Credentials: S.L.P.
License Number: 10546
Business Practice Address: 2300 Gravel Dr
Fort Worth, TX - 761186950
Business Phone Number: 8175897033
Business Fax Number:
Mailing Address: 6737 Riviera Dr,
FORT WORTH
State: TX
Postal Code: 761808121
Phone Number: 8174987118
Fax Number:
NPI Enumeration Date: 07/18/2007
NPI Last Update Date: 07/18/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 10546
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TX
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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