1760499438 NPI number — MR. HERMAN DAVIS TUCKER JR. LCSW

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760499438 NPI number — MR. HERMAN DAVIS TUCKER JR. LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TUCKER
Provider First Name:
HERMAN
Provider Middle Name:
DAVIS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TUCKER
Provider Other First Name:
DAVIS
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1760499438
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
421 W AIRLINE HWY
Provider Second Line Business Mailing Address:
SUITE L
Provider Business Mailing Address City Name:
LA PLACE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70068-3820
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-651-7064
Provider Business Mailing Address Fax Number:
985-651-7067

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
421 W AIRLINE HWY
Provider Second Line Business Practice Location Address:
SUITE L
Provider Business Practice Location Address City Name:
LA PLACE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70068-3820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-651-7064
Provider Business Practice Location Address Fax Number:
985-651-7067
Provider Enumeration Date:
08/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  4452 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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