Individual provider · Type 1 NPI

Tatum Kolicko

Speech-Language Assistant · Anthem, AZ

NPI number 1104707140 Active

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.