Tucker, Angela

Tucker, Angela is an individual health care provider with primary practice located at 463 Ashley Ridge Blvd Ste 100 , Shreveport LA 71106-7231. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Tucker, Angela can be contacted via phone (318) 671-8772.

Contact Information

Primary practice address
463 Ashley Ridge Blvd Ste 100 Shreveport LA 71106-7231
Phone: (318) 671-8772
Fax: (318) 671-8776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4197 Louisiana

Profile Details

NPI number 1336264712
LBN Legal business name Tucker, Angela
Credentials SPEECH THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336264712 NPPES
Louisiana Other 4197 STATE LICENSE

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