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TATUM KOLICKO
NPI 1104707140
Specialist/Technologist - Speech-Language Assistant in Anthem, AZ

Active since September 08, 2025
3222 W FULLER DR, ANTHEM, AZ 85086(847) 596-0445 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tatum Kolicko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATUM KOLICKO (NPI 1104707140) is an individual speech-language assistant in Anthem, Arizona, licensed in Arizona (SLPA16194) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1104707140
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameTATUM KOLICKO
Location Address3222 W FULLER DRAnthem, AZ 85086-6004
Mailing Address2905 W Caravaggio LnPhoenix, AZ 85086-2258
Phone(847) 596-0445
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1104707140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in AZ · SLPA16194
3222 W FULLER DR, Anthem, AZ 85086
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KRISTINE FARISON M.S.
Speech-Language Pathologist
3222 W FULLER DR
ANTHEM, AZ 85086
Maricopa County (847) 596-0445
CARLY MATTESSICH
Speech-Language Pathologist
3222 W FULLER DR
ANTHEM, AZ 85086
Maricopa County (636) 399-0954
INTERAACTIVE SPEECH THERAPY
Speech-Language Pathologist
3222 W FULLER DR
ANTHEM, AZ 85086
Maricopa County (847) 596-0445
CAMERON ERICSON SLPA
Specialist/Technologist (Speech-Language Assistant)
3222 W FULLER DR
ANTHEM, AZ 85086
Maricopa County (847) 596-0445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatum Kolicko's NPI number?

The NPI number for Tatum Kolicko is 1104707140. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Tatum Kolicko located?

Tatum Kolicko practices at 3222 W Fuller Dr, Anthem, AZ 85086. The listed phone number is (847) 596-0445.

What is Tatum Kolicko's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Tatum Kolicko was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.