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NPI Code Detail

MEDICARE: MRS. KATHERINE LAFLEUR TATUM M.S., CCC-SLP

MEDICARE: MRS. KATHERINE LAFLEUR TATUM M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist113543TX

General Provider Information

NPI Number : 1760961759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE LAFLEUR TATUM M.S., CCC-SLP
Provider Business Mailing Address
First Line : 1926 LLANO ST
Second Line :
City : PORT NECHES
State : TX
Zip : 77651-3422
Country : US
Telephone Number : 409-344-0888
Fax Number :
Provider Business Practice Location Address
First Line : 8595 MEDICAL CENTER BLVD
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2428
Country : US
Telephone Number : 409-721-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2018
Last Update Date : 08/09/2018

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Directions to “ MRS. KATHERINE LAFLEUR TATUM M.S., CCC-SLP” Practice Location

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