Individual provider · Type 1 NPI
Tatum Kolicko
Speech-Language Assistant · Anthem, AZ
NPI number
1104707140
Active
Practice location
3222 W Fuller Dr
Anthem, AZ 85086-6004
Mailing address
2905 W Caravaggio Ln
Phoenix, AZ 85086-2258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | SLPA16194 (AZ) |
Speech-Language Assistant: Definition to come...
4 other providers at this address
- Interaactive Speech TherapySpeech-Language Pathologist Anthem, AZ NPI 1295512267
- Cameron Ericson, SLPASpeech-Language Assistant Anthem, AZ NPI 1821855362
- Carly MattessichSpeech-Language Pathologist Anthem, AZ NPI 1124994272
- Sarah Kristine Farison, M.S.Speech-Language Pathologist Anthem, AZ NPI 1053801514
Other speech-language assistant providers in Anthem
- Tamra McIlnaySpeech-Language Assistant Anthem, AZ NPI 1023877719
- Lauren Trimble, BASpeech-Language Assistant Anthem, AZ NPI 1063955714
- Amber Nicole DorichSpeech-Language Assistant Anthem, AZ NPI 1407107352
- Dayna Ann Carlson, SLPASpeech-Language Assistant Anthem, AZ NPI 1811298862
- Cameron Ericson, SLPASpeech-Language Assistant Anthem, AZ NPI 1821855362
About NPI 1104707140
Tatum Kolicko's National Provider Identifier is 1104707140, issued on Sep 8, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Anthem, AZ. The record was last updated on Sep 8, 2025.