Gennie Tucker, LCSW in Bountiful, UT - Behavior Analyst

Gennie Tucker, LCSW is a Behavior Analyst based in Bountiful, Utah. Gennie Tucker is licensed to practice in Utah (license number 74547942506) and her current practice location is 415 Medical Dr Ste D101, Bountiful, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 683-1062.

NPI number for Gennie Tucker is 1295147023 and her current mailing address is 555 E 4500 S, Suite 150 C, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295147023.

Contact Information

	Gennie Tucker, LCSW
	415 Medical Dr Ste D101, Bountiful, UT 84010-8905
	(801) 683-1062
	Not Available

Healthcare Provider's Profile

Full Name	Gennie Tucker
Gender	Female
Speciality	Behavior Analyst
Location	415 Medical Dr Ste D101, Bountiful, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1295147023
Provider Enumeration Date: 05/28/2014
Last Update Date: 11/12/2018

Medical Identifiers

Medical identifiers for Gennie Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295147023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	74547943501 (Utah)	Secondary
103K00000X	Behavior Analyst	74547942506 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gennie Tucker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gennie Tucker, LCSW 555 E 4500 S, Suite 150 C, Salt Lake City, UT 84107-4533 Ph: (801) 288-0747	Gennie Tucker, LCSW 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 Ph: (801) 683-1062

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Gennie Tucker, LCSW - in Bountiful, UT