IndividualActive
Jolyn Tatum, PHD
NPI 1265674709 · Health Psychologist · Maxwell Afb, AL
Provider details
- NPI number
- 1265674709
- Entity type
- Individual
- Primary specialty
- Health PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- B1-0000907 (DE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
42d Medical Group
300 S. Twining St., Bldg 760
Maxwell Afb, AL 36112-6027
Phone: (334) 953-5200
Approximate (ZIP-level) locationGet directions
Mailing address
42d Medical Group
Maxwell Afb, AL 36112-6027
Registry dates
- Enumerated
- 2009-03-30
- Last updated
- 2024-11-15
- Certified
- 2024-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.