Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. COREY JAMAL TUCKER
Active Sole ProprietorMR. COREY JAMAL TUCKER is a Community/Behavioral Health healthcare provider located in ELKINS PARK, Pennsylvania. NPI 1992466676 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · ELKINS PARK, PA
Registration Details
- NPI Number
- 1992466676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2022 (4.6457066196575 yrs)
- Last Updated
- Jan 5, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1803 ERLEN RDELKINS PARK, PA, 190271064Browse PA providers · Browse ZIP 19027
- Phone
- 2152728746
- Primary Specialty
-
Community/Behavioral Health
251S00000X
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.