Provider Demographics
NPI:1700541026
Name:TUCCI, NATALIE R
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:R
Last Name:TUCCI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7540 ALLENTOWN BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-4238
Mailing Address - Country:US
Mailing Address - Phone:717-418-8533
Mailing Address - Fax:717-603-9070
Practice Address - Street 1:7540 ALLENTOWN BLVD STE 5
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-4238
Practice Address - Country:US
Practice Address - Phone:717-418-8533
Practice Address - Fax:717-603-9070
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARBT-20-148155106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician