| Doctor Name: | DR. ANN TUCKER |
| NPI Number: | 1467463182 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH D |
| License Number: | 20456 WITN HSP |
| Business Practice Address: | 7055 Richlynn Terrace Richland Hills, TX - 761185119 |
| Business Phone Number: | 8175951177 |
| Business Fax Number: | 8175951177 |
| Mailing Address: | 7055 Richlynn Terrace, RICHLAND HILLS |
| State: | TX |
| Postal Code: | 761185119 |
| Phone Number: | 8175951177 |
| Fax Number: | 8175951177 |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 11/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20456 WITN HSP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |