Individual provider · Type 1 NPI

Mary Miller Tatum, M.ED, CCC-SLP

Speech-Language Pathologist · Fort Walton Beach, FL

NPI number 1700107448 Active

Practice location

122 Eglin Pkwy NE
Fort Walton Beach, FL 32548-4917

Fax (850) 863-9974

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSA11089 (FL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1700107448

Mary Miller Tatum, M.ED, CCC-SLP's National Provider Identifier is 1700107448, issued on Jun 16, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Sep 6, 2011.