Doctor Name: | MRS. CARMEN R TUCKER-RICHARDSON |
NPI Number: | 1801915079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 05266 |
Business Practice Address: | 2237 Graythorn Rd Middle River, MD - 212204930 |
Business Phone Number: | 4105794757 |
Business Fax Number: | |
Mailing Address: | 2237 Graythorn Rd, MIDDLE RIVER |
State: | MD |
Postal Code: | 212204930 |
Phone Number: | 4105794757 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 05266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |