Tucker, Daphne Lynn

Tucker, Daphne Lynn is an individual health care provider with primary practice located at 13505 Us Highway 1 , Sebastian FL 32958-3759. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tucker, Daphne Lynn can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
13505 Us Highway 1 Sebastian FL 32958-3759
Phone: (772) 257-8224
Fax: (772) 213-3157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW4717 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005456 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW4717 Florida

Profile Details

NPI number 1740316520
LBN Legal business name Tucker, Daphne Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 21st, 2021 - about 3 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 1740316520 NPPES
Florida Other SW4717 STATE LICENSE

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