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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACLYN TUCKER, MA, NCSP, TLLP

Active

JACLYN TUCKER, MA, NCSP, TLLP is a School Psychologist healthcare provider located in TROY, Michigan. NPI 1457950172 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · TROY, MI

Registration Details

NPI Number
1457950172
Provider Type
Individual
Gender
Female
NPI Issued
Oct 23, 2020 (5.8239297422582 yrs)
Last Updated
Oct 23, 2020
Licenses
6362009126 (MI)
SP0000000912649 (MI)

Practice Information

Address
1777 AXTELL DR
TROY, MI, 480844404
Browse MI providers · Browse ZIP 48084
Phone
2486135377
Primary Specialty
School Psychologist
103TS0200X
Additional Specialty
School Psychologist

Other School Psychologist Providers in TROY, MI

Name Credential NPI
KRISTIN DEWS NCSP 1609143536
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.