National Provider Identifier
Stacy W Tucker
Stacy W Tucker is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Getzville, NY and a listed phone number of (716) 629-3465.
Profile Overview
- NPI
- 1538440409
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 06, 2011
- Last Updated
- October 23, 2014
Practice Location
- 150 Stahl RD
- Getzville, NY 14068-1231
Phone: (716) 629-3465
Mailing Address
- 1194 Woodstock Ave
- Tonawanda, NY 14150-4604
Specialties
- Speech-Language Pathologist (235Z00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1538440409
- Entity Type
- Individual
- Last Name
- Tucker
- First Name
- Stacy
- Middle Name
- W
- Mailing Street Address
- 1194 Woodstock Ave
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-4604
- Mailing Country
- US
- Mailing Phone
- (716) 629-3465
- Mailing Fax
- (716) 629-3496
- Practice Street Address
- 150 Stahl RD
- Practice City
- Getzville
- Practice State
- NY
- Practice ZIP Code
- 14068-1231
- Practice Country
- US
- Practice Phone
- (716) 629-3465
- Practice Fax
- (716) 629-3496
- Enumeration Date
- September 06, 2011
- Last Updated
- October 23, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)