Healthcare Provider Details

I. General information

NPI: 1801015201
Provider Name (Legal Business Name): LINDA MARIE TUCKER-SIMPSON MS,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 LEXINGTON MEWS
WOOLWICH NJ
08085-1294
US

IV. Provider business mailing address

1102 LEXINGTON MEWS
SWEDESBORO NJ
08085-1294
US

V. Phone/Fax

Practice location:
  • Phone: 973-699-5443
  • Fax:
Mailing address:
  • Phone: 973-699-5443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberYS000561
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: