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

Individual provider Speech-Language Pathologist · NPI 1033878400

Tatum Makenzie Hubbard, CCC-SLP is a Speech-Language Pathologist in Southlake, Texas. Works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2021
What do these letters mean?
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

2425 E Southlake Blvd Ste 100
Southlake, TX 76092-6675
Phone: (817) 442-0222
Fax: (817) 442-0223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4537 Heritage Trace Pkwy, Fort Worth, TX 76244-8921 — (817) 442-0222
  • 4855 Ohio Dr, Frisco, TX 75035-7381 — (817) 442-0222

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14311924 (TX)

Record details

NPI number1033878400
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 14, 2021
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

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