Doctor Name: | MRS. FAYE TERREBONNE TUCKER |
NPI Number: | 1710270764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 6244 |
Business Practice Address: | 1890 Hudson Cir Ste 4 Monroe, LA - 712013545 |
Business Phone Number: | 3183485701 |
Business Fax Number: | |
Mailing Address: | 117 Puma Dr, WEST MONROE |
State: | LA |
Postal Code: | 712918755 |
Phone Number: | 3183975530 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |