Doctor Name: | MRS. CHRISTINE NOELLE TUCKER |
NPI Number: | 1679575906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 12092572 |
Business Practice Address: | 51 Wildwood Ave East Bridgewater, MA - 023331153 |
Business Phone Number: | 7742083854 |
Business Fax Number: | |
Mailing Address: | 51 Wildwood Ave, EAST BRIDGEWATER |
State: | MA |
Postal Code: | 023331153 |
Phone Number: | 7742083854 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 02/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12092572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |