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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TATUM KOLICKO

Active Sole Proprietor

TATUM KOLICKO is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in ANTHEM, Arizona. NPI 1104707140 is currently active in the NPPES registry. Verify at CMS.

Swallowing Disorders Speech-Language Pathologist · ANTHEM, AZ

Registration Details

NPI Number
1104707140
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2025 (0.9103419671425 yrs)
Last Updated
Sep 8, 2025
License
SLPA16194 (AZ)
Sole Proprietor
Yes

Practice Information

Address
3222 W FULLER DR
ANTHEM, AZ, 850866004
Browse AZ providers · Browse ZIP 85086
Phone
8475960445

Other Swallowing Disorders Speech-Language Pathologist Providers in ANTHEM, AZ

Name Credential NPI
MS. DAYNA ANN CARLSON SLPA 1811298862
MS. AMBER NICOLE DORICH 1407107352
LAUREN TRIMBLE BA 1063955714
TAMRA MCILNAY 1023877719
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.