Individual
WENDY TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ED.S, NCSP
Contact information
Practice address
503 SOPHIA ST, FREDERICKSBURG, VA 22401-6075
(540) 656-3114
(484) 842-6053
Mailing address
711 LAKEVIEW PKWY, LOCUST GROVE, VA 22508-5131
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000233
VA
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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