Tatum, Mary Miller

Tatum, Mary Miller is an sole proprietor health care provider with primary practice located at 122 Eglin Pkwy Ne , Fort Walton Beach FL 32548-4917. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Tatum, Mary Miller can be contacted via phone (850) 863-9973.

Contact Information

Primary practice address
122 Eglin Pkwy Ne Fort Walton Beach FL 32548-4917
Phone: (850) 863-9973
Fax: (850) 863-9974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA11089 Florida

Profile Details

NPI number 1700107448
LBN Legal business name Tatum, Mary Miller
Credentials M.ED, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2010
Last updated Sep 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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