Individual provider · Type 1 NPI

Jessica L. Tatum

Speech-Language Assistant · Glendale, AZ

NPI number 1740531177 Active

Practice location

4650 W Sweetwater Ave
Glendale, AZ 85304-1505

Fax (602) 347-2709

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA6944 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1740531177

Jessica L. Tatum's National Provider Identifier is 1740531177, issued on Sep 25, 2012. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Glendale, AZ. The record was last updated on Sep 25, 2012.