Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOLYN INEZ TATUM, PHD
Active Sole ProprietorHealth Psychologist · MAXWELL AFB, AL
Registration Details
- NPI Number
- 1265674709
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2009 (17.058955605528 yrs)
- Last Updated
- Nov 15, 2024
- Licenses
-
B1-0000907 (DE)B1-0000907 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
42D MEDICAL GROUP300 S. TWINING ST., BLDG 760MAXWELL AFB, AL, 361126027Browse AL providers · Browse ZIP 36112
- Phone
- 3349535200
- Primary Specialty
-
Health Psychologist
103TH0004X
- Additional Specialty
- Health Psychologist
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.