Individual
AMY TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 WEBSTER STREET, DONALDSONVILLE, LA 70346-4699
(337) 356-2356
Mailing address
38179 MEADOW RUE DRIVE, PRAIRIEVILLE, LA 70769
(318) 272-9868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14128998
LA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
05/23/2024
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