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

Tyra Tatum

Individual provider Speech-Language Pathologist · NPI 1144945304

Tyra Tatum is a Speech-Language Pathologist in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022

Practice location Address checks out

6466 Ridgecrest Rd Apt 2126
Dallas, TX 75231-6979
Phone: (469) 435-1094
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 42743 (TX)

Record details

NPI number1144945304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 3, 2022
Mailing addressPo Box 1049, Ore City, TX 75683-1049

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