Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Miller Tatum, MED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1700107448

Mary Miller Tatum, MED, CCC-SLP is a Speech-Language Pathologist in Fort Walton Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

122 Eglin Pkwy NE
Fort Walton Beach, FL 32548-4917
Phone: (850) 863-9973
Fax: (850) 863-9974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA11089 (FL)

Record details

NPI number1700107448
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 16, 2010
Last updated in NPPESSeptember 6, 2011

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