Tucker, Tennille Louise

Tucker, Tennille Louise is an sole proprietor health care provider with primary practice located at 550 Quarry Rd , San Carlos CA 94070-6221. 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, Tennille Louise can be contacted via phone (650) 508-6780.

Contact Information

Primary practice address
550 Quarry Rd San Carlos CA 94070-6221
Phone: (650) 508-6780
Fax: (650) 598-2860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 29353 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1972646214
LBN Legal business name Tucker, Tennille Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Mar 10th, 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.

Request for update

Popular Providers