Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700107448 Individual Practitioner Female Practitioner

Mary Miller Tatum , MED, CCC-SLP

Speech-Language Pathologist • Fort Walton Beach, FL

Professional Overview & Biography Verified Profile Summary

Mary Tatum, MED, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fort Walton Beach, FL. Practice services are available at 122 EGLIN PKWY NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

122 Eglin Pkwy Ne

Fort Walton Beach, FL 325484917

Telephone 8508639973
Fax 8508639974
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fort Walton Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
75 Specialists

Practicing in Fort Walton Beach, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA11089

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Michelle Wildman , OTRL

Day Training, Developmentally Disabled Services

NPI 1003962317

Occupational Therapist Registered & Licensed

Catherine Riley , MA, CCC-SLP

Speech-Language Pathologist

NPI 1225180060

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Lauren Veal , MS- CCC, SLP

Speech-Language Pathologist

NPI 1679734230

MSCCC, Speech-Language Pathologist

Barbara Carter

Speech-Language Pathologist

NPI 1932251626

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2011

Registered at 122 EGLIN PKWY NE, FORT WALTON BEACH, FL 325484917 (Tel: 8508639973)

📍
Updated Business Mailing Address September 06, 2011

Registered at 122 EGLIN PKWY NE, FORT WALTON BEACH, FL 325484917 (Tel: 8508639973)

👤
Provider Name / Credentials Updated September 06, 2011

Recorded as MARY TATUM, M.ED, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Speech-Language Pathologist (License #SA11089 in FL)

🟢
Initial NPI Registration & Enumeration June 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700107448
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2010
Last Update: September 06, 2011
Sole Proprietor: Yes

Mailing Address

122 Eglin Pkwy Ne

Fort Walton Beach, FL 325484917

Phone: 8508639973

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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