Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tatum Kolicko

Individual provider Speech-Language Assistant · NPI 1104707140

Tatum Kolicko is a Speech-Language Assistant in Anthem, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

3222 W Fuller Dr
Anthem, AZ 85086-6004
Phone: (847) 596-0445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SLPA16194 (AZ)

Record details

NPI number1104707140
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address2905 W Caravaggio Ln, Phoenix, AZ 85086-2258

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