Individual
MRS. ANDREA WEST TATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1601 PURDUE DR, FAYETTEVILLE, NC 28304-3674
(910) 486-5000
Mailing address
205 THORNCLIFF DR, FAYETTEVILLE, NC 28303-5258
(910) 484-5539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4319
NC
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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