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NPI Code Detail

MEDICARE: MRS. ALISON MARSH TUCKER M ED CCCSLP CERT AVT

MEDICARE: MRS. ALISON MARSH TUCKER M ED CCCSLP CERT AVT
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 PathologistSLP001748GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083687370
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALISON MARSH TUCKER M ED CCCSLP CERT AVT
Provider Business Mailing Address
First Line : 1875 CENTURY BLVD NE STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3314
Country : US
Telephone Number : 404-633-8911
Fax Number : 404-633-6403
Provider Business Practice Location Address
First Line : 1875 CENTURY BLVD NE STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3314
Country : US
Telephone Number : 404-633-8911
Fax Number : 404-633-6403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 04/28/2022

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Directions to “ MRS. ALISON MARSH TUCKER M ED CCCSLP CERT AVT” Practice Location

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