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Contact Information

SHANNON L TUCKER, MSED/ CAS/ NCSP
1 RAPP RD
ALBANY, NY12203
 Phone: 518-867-3061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHANNON L TUCKER · (Female)

NPI # 1194140517
Status Active
Credentials MSED/ CAS/ NCSP
Entity Individual
Enumeration date 02/21/2014
Last updated 02/21/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 42110
  • NY License # 3513156
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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