Tucker, Gennie

Tucker, Gennie is an sole proprietor health care provider with primary practice located at 415 Medical Dr Ste D101 , Bountiful UT 84010-8905. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Tucker, Gennie can be contacted via phone (801) 683-1062.

Contact Information

Primary practice address
415 Medical Dr Ste D101 Bountiful UT 84010-8905
Phone: (801) 683-1062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 74547943501 Utah
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 74547942506 Utah

Profile Details

NPI number 1295147023
LBN Legal business name Tucker, Gennie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2014
Last updated Nov 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers