Doctor Name: | JEAN C. TUCKER |
NPI Number: | 1770728263 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED.,CCC-SLP |
License Number: | 0782 |
Business Practice Address: | 92 Portsmouth Ave Ste 4 Exeter, NH - 038332133 |
Business Phone Number: | 6035834514 |
Business Fax Number: | 6035834513 |
Mailing Address: | 92 Portsmouth Ave, Ste 4 EXETER |
State: | NH |
Postal Code: | 038332133 |
Phone Number: | 6035834514 |
Fax Number: | 6035834513 |
NPI Enumeration Date: | 12/11/2008 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |