| Tucker & Ko Psychological Services, Inc. | |
|
3455 Kearny Villa Rd San Diego CA 92123-1971 | |
| (213) 533-9851 | |
| Not Available |
| Full Name | Tucker & Ko Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 3455 Kearny Villa Rd, San Diego, California |
| Authorized Official Name and Position | Jeritt R Tucker (CEO/PSYCHOLOGIST) |
| Authorized Official Contact | 2135339851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucker & Ko Psychological Services, Inc. 421 Broadway Unit 401 San Diego CA 92101-5107 Ph: (213) 533-9851 | Tucker & Ko Psychological Services, Inc. 3455 Kearny Villa Rd San Diego CA 92123-1971 Ph: (213) 533-9851 |
| NPI Number | 1063142404 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063142404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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