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JUSTIN RANDAL TUCKER MS CCC/SLP ATP NPI 1720615081


NPI Information

NPI: 1720615081
Provider Name: JUSTIN RANDAL TUCKER, MS, CCC/SLP, ATP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
2655 VILLA CREEK DR STE 140
DALLAS, TX
ZIP 75234
Phone: (972) 241-9334
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Justin Randal Tucker, MS, CCC/SLP, ATP is a speech language pathologist in Dallas, TX. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Justin Randal Tucker, MS, CCC/SLP, ATP NPI is 1720615081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2655 VILLA CREEK DR STE 140
DALLAS, TX
ZIP 75234-385
Phone: (972) 241-9334
Fax: (972) 241-0155

The enumeration date for this NPI number is 3/26/2020 and was last updated on 3/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist107509TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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