Tucker, Bettina Sanders

Tucker, Bettina Sanders is an individual health care provider with primary practice located at 4202 E Fowler Ave Communication Sciences And Disorders-Pcd 1017, Tampa FL 33620-8001. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Tucker, Bettina Sanders can be contacted via phone (813) 974-8804.

Contact Information

Primary practice address
4202 E Fowler Ave Communication Sciences And Disorders-Pcd 1017 Tampa FL 33620-8001
Phone: (813) 974-8804
Fax: (813) 974-0822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY425 Florida
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AY425 Florida

Profile Details

NPI number 1780639187
LBN Legal business name Tucker, Bettina Sanders
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 22nd, 2013 - about 11 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 1780639187 NPPES
Florida Other S006S BLUE CROSS BLUE SHIELD
Florida MEDICAID 006642800 BLUE CROSS BLUE SHIELD
Florida MEDICAID 006642801 BLUE CROSS BLUE SHIELD

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