DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. CARMEN R TUCKER-RICHARDSON M.A., CCC-SLP

MEDICARE:  MRS. CARMEN R TUCKER-RICHARDSON  M.A., CCC-SLP
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 Pathologist05266MD

General Provider Information

NPI Number : 1801915079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARMEN R TUCKER-RICHARDSON M.A., CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 43893
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-0893
Country : US
Telephone Number : 443-579-4757
Fax Number :
Provider Business Practice Location Address
First Line : 1 OLYMPIC PL
Second Line :
City : TOWSON
State : MD
Zip : 21204-4104
Country : US
Telephone Number : 443-579-4757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/05/2022

Similar Medicare Providers

1043083678 — MICAH GOODWIN APRN
Practice Location Address:
1 OLYMPIC PL
TOWSON, MD
21204-4104
Practice Phone: 888-444-1378
Practice Fax: 410-584-5440
1578637294 — JOSEPH A ADAMS M.D.
Practice Location Address:
6701 N CHARLES ST , SUITE 4104
TOWSON, MD
21204-6808
Practice Phone: 410-231-3323
Practice Fax:
1245474063 — DR. FIDELIS CAROLINE DEFINE MD
Practice Location Address:
6701 N CHARLES ST , 4104
TOWSON, MD
21204-6808
Practice Phone: 410-227-7149
Practice Fax: 410-561-3911
1023368412 — PHOENIX SUPPORT SERVICES, LLC
Practice Location Address:
6701 N CHARLES ST , STE 4104
TOWSON, MD
21204-6808
Practice Phone: 410-714-0077
Practice Fax:
1336571223 — ROBERTA BRESLOW
Practice Location Address:
1 OLYMPIC PL STE 200 , TOWSON UNIVERSITY, SPEEC-LANGUAGE-HEARING CENTER
TOWSON, MD
21204-4104
Practice Phone: 410-704-3095
Practice Fax: 410-704-6303
1932531456 — CHRISTINA YEAGER PELATTI
Practice Location Address:
1 OLYMPIC PL , SUITE 200
TOWSON, MD
21204-4104
Practice Phone: 410-704-7302
Practice Fax: 410-704-6303

Directions to “ MRS. CARMEN R TUCKER-RICHARDSON M.A., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.