Tatum Sheets, MA CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Mantua, OH

NPI 1215526447 · NPPES record last updated Jan 12, 2021

Key facts

NPI
1215526447
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
COND.20201598-SP (OH)
Practice address
11256 Bowen Rd
Mantua, OH 44255-9454
Phone
(330) 357-8202
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
COND.20201598-SPOHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND.20201598-SP OH Yes

Addresses

Primary practice location

11256 Bowen Rd
Mantua, OH 44255-9454

Mailing address

11256 Bowen Rd
Mantua, OH 44255-9454
Phone (330) 357-8202

Other providers in Mantua, OH

All providers in Mantua, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.