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MARY MILLER TATUM M.ED, CCC-SLP
NPI 1700107448
Speech-Language Pathologist in Fort Walton Beach, FL

Active since June 16, 2010
122 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548(850) 863-9973(850) 863-9974 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Miller Tatum M.ed, Ccc-slp NPPES

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

MARY MILLER TATUM M.ED, CCC-SLP (NPI 1700107448) is an individual speech-language pathologist provider in Fort Walton Beach, Florida, licensed in Florida (SA11089) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1700107448
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY MILLER TATUMCredential: M.ED, CCC-SLP
Location Address122 EGLIN PKWY NEFort Walton Beach, FL 32548-4917
Mailing Address122 Eglin Pkwy NeFort Walton Beach, FL 32548-4917 · (850) 863-9973 · Fax (850) 863-9974
Phone(850) 863-9973
Fax(850) 863-9974
Sole ProprietorYes
Enumeration DateJune 16, 2010
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1700107448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA11089
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
122 EGLIN PKWY NE, Fort Walton Beach, FL 32548
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Other Providers at the Same Location NPPES 5

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

MICHELLE ANNE WILDMAN OTRL
Day Training, Developmentally Disabled Services
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 543-6227
CATHERINE RILEY M.A.,CCC-SLP
Speech-Language Pathologist
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 863-9973
MICHELLE WILDMAN, OCCUPATIONAL THERAPIST, P.A.
Day Training, Developmentally Disabled Services
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 543-6227
MARGARET LUMMUS HAS
Hearing Instrument Specialist
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 243-3196
BARBARA LEE CARTER
Speech-Language Pathologist
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 863-9973

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 Mary Tatum's NPI number?

The NPI number for Mary Tatum is 1700107448. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Mary Tatum located?

Mary Tatum practices at 122 Eglin Pkwy NE, Fort Walton Beach, FL 32548. The listed phone number is (850) 863-9973.

What is Mary Tatum's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Tatum was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.