National Provider Identifier

Bruce Tucker, LCSW

Bruce Tucker, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Bath, NY and a listed phone number of (607) 664-4513.

NPI 1114972247Bath, NYClinical Social Worker

Profile Overview

NPI
1114972247
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 24, 2006
Last Updated
July 08, 2007

Practice Location

  • 76 Veterans Ave
  • Bath, NY 14810-0810

Phone: (607) 664-4513

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1114972247
Entity Type
Individual
Last Name
Tucker
First Name
Bruce
Name Prefix
Mr.
Credential
LCSW
Mailing Street Address
76 Veterans Ave
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-0810
Mailing Country
US
Mailing Phone
(607) 664-4513
Practice Street Address
76 Veterans Ave
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4513
Enumeration Date
May 24, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)