Tucker, Susan C
Tucker, Susan C is an individual health care provider with primary practice located at 1800 Irving Pl , Shreveport LA 71101-4608. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tucker, Susan C can be contacted via phone (318) 773-6453.Contact Information
Primary practice address
1800 Irving Pl
Shreveport LA 71101-4608
Phone: (318) 773-6453
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 817 | Louisiana |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 817 | Louisiana |
Profile Details
NPI number | 1366110272 |
---|---|
LBN Legal business name | Tucker, Susan C |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 3rd, 2021 |
Last updated | May 10th, 2022 - 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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