Tucker, Larry G

Tucker, Larry G is an individual health care provider with primary practice located at 310 E 38Th St Suite 320, Minneapolis MN 55409. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Tucker, Larry G can be contacted via phone (612) 343-1600.

Contact Information

Primary practice address
310 E 38Th St Suite 320 Minneapolis MN 55409
Phone: (612) 343-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1198 Minnesota

Profile Details

NPI number 1760532683
LBN Legal business name Tucker, Larry G
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Nov 21st, 2007 - about 17 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 1760532683 NPPES
Minnesota Other 978T9KE BCBS
Minnesota Other 62-70808 BCBS

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