MISS MARNEL KAE TUCKER (NPI# 1588005060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588005060 |
| Entity Type | Individual |
| Full Name | MISS MARNEL KAE TUCKER |
| Other Name | DR. MARNEL KAE TUCKER |
| Credential | PSY.D |
| Practice Address |
4237 Palo Verde Ave Lakewood CA 90713-3219 |
| Practice Telephone | 5628333238 |
| Mailing Telephone | 5628333238 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
$$$$$$$$$ | CA | Behavioral Health & Social Service Providers |
| Street Address |
4237 PALO VERDE AVE |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90713-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470026 | Blue Horizon Homes, LLC | Residential Treatment Facility, Physical Disabilities | 4340 Conquista Ave., Lakewood, CA 90713 | 2016-11-28 |
| 1083033104 | Support for Mothers | Lactation Consultant, Non-RN | 5313 Briercrest Ave, Lakewood, CA 90713 | 2014-04-16 |
| 1477972990 | Denise Marie Estrada | Acupuncturist | 4136 Woodruff Avenue, Lakewood, CA 90713 | 2014-04-11 |
| 1013176130 | Larry J Gottlieb Inc A Professional Corporation | Optometrist | 6418 E Del Amo Blvd, Lakewood, CA 90713 | 2008-06-04 |
| 1750405718 | Dean Luong & Donald Luong Dds, Inc | Dentist | 4180 Woodruff Ave, Lakewood, CA 90713 | 2007-03-16 |
| 1477629939 | Molthen Chiropractic | Chiropractor | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2006-11-28 |
| 1093809709 | Kelli Lynn Molthen | Chiropractor | 5834 Adenmoor Ave., Lakewood, CA 90713 | 2006-10-03 |
| 1255979803 | Kimie Anne Acacio | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1164060711 | Stephanie Lee | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1144866161 | Anna Gevorgyan | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-11-25 |
| Find all providers in zip 90713 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996692 | Thrive Psychology Center, LLC | Psychologist | 699 Cross St Ste 110, Lakewood, NJ 08701-4681 | 2020-06-16 |
| 1578120960 | Eliyahu Melen | Psychologist | 1379 Alvarado Ave, Lakewood, NJ 08701-3902 | 2019-05-22 |
| 1548723190 | Jennifer Durst | Psychologist | 445 Union Blvd Ste 221, Lakewood, CO 80228-1241 | 2019-04-10 |
| 1093296261 | Kendra A Mathys Psyd LLC | Psychologist | 15644 Madison Ave Ste 202, Lakewood, OH 44107-5622 | 2018-08-27 |
| 1285137703 | Empower Health Center | Psychologist | 195 Walnut Ave, Lakewood, NJ 08701-5669 | 2018-03-11 |
| 1639607336 | Reine Evereteze, Psyd, LLC | Psychologist | 8015 W Alameda Ave Ste 230, Lakewood, CO 80226-3076 | 2017-05-25 |
| 1043686991 | Vincent Thomas Gollogly | Psychologist | 11444 Gravelly Lake Dr Sw, Lakewood, WA 98499-1404 | 2015-08-14 |
| 1710390299 | Mark Onusko | Psychologist | 2085 Wyandotte Ave, Lakewood, OH 44107-6135 | 2014-06-03 |
| 1093126369 | Elizabeth Ormond Ahlers | Psychologist | 1687 Cole Blvd Ste 103, Lakewood, CO 80401-3318 | 2014-05-08 |
| 1114346343 | Meshkin B Amirirad | Psychologist | 1492 S Jellison St, Lakewood, CO 80232-5025 | 2014-04-15 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.