Thomas Tucker, MSW, PHD, LICSW

NPI 1396115598 · on the registry since 2015 · sole proprietor

Practice

Address: 701 Decatur Ave N
Suite 109
Golden Valley, MN 55427
Phone: (763) 746-2419
Fax: (763) 746-2401
Organisation at this address: Reva Health Llc
Bunka Enterprise L.L.C.
Forward Spine Center Llc
Advanced Brain And Body Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota