Doctor Name: | ERIKA TATUM |
NPI Number: | 1164569869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA8848 |
Business Practice Address: | 3345 Burns Rd Suite 301 Palm Beach Gardens, FL - 334104324 |
Business Phone Number: | 5616914088 |
Business Fax Number: | 5616911292 |
Mailing Address: | 3345 Burns Rd, Suite 301 PALM BEACH GARDENS |
State: | FL |
Postal Code: | 334104324 |
Phone Number: | 5616914088 |
Fax Number: | 5616911292 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |