Leigh Tatum, MS, CCC-SLP | |
76 Osprey Village Dr, Amelia Island, FL 32034-4962 | |
(904) 277-3337 | |
Not Available |
Full Name | Leigh Tatum |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 76 Osprey Village Dr, Amelia Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699157842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA13349 (Florida) | Primary |
235Z00000X | Speech-language Pathologist | 102704 (Texas) | Secondary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
Mailing Address | Practice Location Address |
---|---|
Leigh Tatum, MS, CCC-SLP 123 Cedar St, Neptune Beach, FL 32266-6017 Ph: (512) 587-7468 | Leigh Tatum, MS, CCC-SLP 76 Osprey Village Dr, Amelia Island, FL 32034-4962 Ph: (904) 277-3337 |
Mrs. Morgan Clarissa Oldfield, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 46 Osprey Village Dr, Amelia Island, FL 32034 Phone: 334-596-2679 | |
Mrs. Sally Melissa Willage, M.S.CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 76 Osprey Village Dr, Amelia Island, FL 32034 Phone: 904-491-1701 | |
Shelley Hicks Botts, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 76 Osprey Village Dr, Amelia Island, FL 32034 Phone: 904-491-1701 Fax: 904-491-1702 | |
Miss Virginia Warren Swenson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 76 Osprey Village Dr, Amelia Island, FL 32034 Phone: 904-491-1701 Fax: 904-491-1702 |