Gennie Lee Tucker (NPI# 1295147023, PAC ID# 5092015305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1295147023 |
| PAC ID by PECOS | 5092015305 |
| Professional Enrollment ID | I20151118000746 |
| Full Name | Gennie Lee Tucker |
| Organization Legal Name | NEUROBEHAVIORAL CENTER FOR GROWTH LLC |
| Address |
415 Medical Dr Suite D101 Bountiful UT 84010-8905 |
| Phone Number | 8016831062 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4183859622 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 415 Medical Dr, Suite D101, Bountiful, UT 84010-8905 | 8016831062 | NEUROBEHAVIORAL CENTER FOR GROWTH LLC |
| 327 W Gordon Ave, Suite 2, Layton, UT 84041-2381 | 8016831062 | NEUROBEHAVIORAL CENTER FOR GROWTH LLC |
| Organization Legal Name | NEUROBEHAVIORAL CENTER FOR GROWTH LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Cardinal | Psychologist, Clinical | Neurobehavioral Center for Growth LLC | 415 Medical Dr, Suite D101, Bountiful, UT 84010-8905 |
| Amber Zaugg | Clinical Social Worker | Neurobehavioral Center for Growth LLC | 415 Medical Dr, Suite D101, Bountiful, UT 84010-8905 |
| Sarah T Howlett | Clinical Social Worker | Neurobehavioral Center for Growth LLC | 327 W Gordon Ave, Layton, UT 84041-2381 |
| Street Address |
415 MEDICAL DR SUITE D101 |
| City | BOUNTIFUL |
| State | UT |
| Zip | 84010-8905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua C Luekenga Jr | Qualified Audiologist | 415 Medical Dr, Suite A202, Bountiful, UT 84010-4971 | |
| Gregory J Gulso | Podiatry | 415 Medical Dr, Suite C200, Bountiful, UT 84010-4973 | |
| Jennifer Cardinal | Psychologist, Clinical | Neurobehavioral Center for Growth LLC | 415 Medical Dr, Suite D101, Bountiful, UT 84010-8905 |
| Wayne M Olsen | Chiropractic | 415 Medical Dr, C201, Bountiful, UT 84010-4974 | |
| Joe Roth Nielsen | Dermatology | 415 Medical Dr, Suite D200, Bountiful, UT 84010-4980 | |
| Amber Zaugg | Clinical Social Worker | Neurobehavioral Center for Growth LLC | 415 Medical Dr, Suite D101, Bountiful, UT 84010-8905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Samuel Wilson | Family Medicine | 1217 E 1650, Bountiful, UT 84010-1586 | |
| Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
| Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
| Find all physicians in zip 84010 | |||
| City | BOUNTIFUL |
| Zip Code | 84010 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BOUNTIFUL + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Gennie Lee Tucker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.