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NPI Code Detail

MEDICARE: CAITLIN TUCKER

MEDICARE: CAITLIN TUCKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist06609MD

General Provider Information

NPI Number : 1912276577
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN TUCKER
Provider Business Mailing Address
First Line : 1562 OPPOSUMTOWN PIKE
Second Line :
City : FREDERICK
State : MD
Zip : 21701
Country : US
Telephone Number : 240-566-3333
Fax Number : 240-566-3892
Provider Business Practice Location Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-566-3333
Fax Number : 240-566-3892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2011
Last Update Date : 08/09/2022

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Directions to “ CAITLIN TUCKER ” Practice Location

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