Individual
MRS. MORGAN TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
6437 RUCKER RD, INDIANAPOLIS, IN 46220-4885
(317) 405-9016
Mailing address
3036 SANTIAGO DR, GREENWOOD, IN 46143-8781
(317) 450-7521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004944A
IN
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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