Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Randal Tucker, MS, CCC/SLP, ATP

Individual provider Speech-Language Pathologist · NPI 1720615081

Justin Randal Tucker, MS, CCC/SLP, ATP is a Speech-Language Pathologist in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2655 Villa Creek Dr Ste 140
Dallas, TX 75234-7385
Phone: (972) 241-9334
Fax: (972) 241-0155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 107509 (TX)

Record details

NPI number1720615081
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC/SLP , ATP
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020

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