John Benjamin David Tatum, DD PHD

NPI #1174081095 in Mansfield, Ohio

Provider Information

NPI Number: 1174081095
Entity Type: Individual
Name: John Benjamin David Tatum, DD PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Pastoral
Credential: DD PHD
Enumeration Date: Mar 10, 2019
Last Updated: Mar 10, 2019

Practice Location

Address: 99 DAWSON AVENUE
Address 2: BACK DOOR @ TOP OF W/C RAMP
City: Mansfield
State: Ohio
ZIP Code: 44906-3201
Phone: (419) 524-8337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Personal Emergency Response Attendant	146D00000X
Meals	174200000X
Lodging	177F00000X
Home Health	251E00000X
In Home Supportive Care	253Z00000X
Private Vehicle	347C00000X
Religious Nonmedical Practitioner	374K00000X
Homemaker	376J00000X
Counselor - Pastoral — Pastoral	101YP1600X	Primary

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