Provider Information for 1114412012
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MARIE TUCKER LMHC
Other Names:Former Name:MARIE ZIMMERMANSex: Female
NPI: 1114412012
Last Updated: 2024-11-12
Certification Date: 2024-11-12
Certification Date: 2024-11-12
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1114412012 | ||||||||||||
| Enumeration Date | 2018-06-25 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 205 HUDSON ST NEW YORK, NY 10013-1803 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 205 HUDSON ST NEW YORK, NY 10013-1803 United States Phone: 315-260-5612 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|