Christina Marie Moreno, | |
4319 S Lee St Ste 300, Buford, GA 30518-5752 | |
(678) 288-9770 | |
Not Available |
Full Name | Christina Marie Moreno |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4319 S Lee St Ste 300, Buford, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013586288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP011565 (Georgia) | Primary |
Provider Name | Sonant Therapy Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992415764 PECOS PAC ID: 6608246715 Enrollment ID: O20230106000942 |
Mailing Address | Practice Location Address |
---|---|
Christina Marie Moreno, 212 Adair St Apt B3, Decatur, GA 30030-2906 Ph: (219) 308-2067 | Christina Marie Moreno, 4319 S Lee St Ste 300, Buford, GA 30518-5752 Ph: (678) 288-9770 |
Reneida Yvonne Parker, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4319 S Lee St Ste 300, Buford, GA 30518 Phone: 678-288-9770 Fax: 678-288-9774 | |
Miss Jennifer A.r. Mitchell, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2140 Buford Hwy Ste 109, Buford, GA 30518 Phone: 174-247-0589 | |
Sandy Greenblat, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22 Buford Village Way Ste 229, Buford, GA 30518 Phone: 678-482-6100 Fax: 770-932-5684 | |
Jennifer Moore Porter, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4992 Bristol Industrial Way, Buford, GA 30518 Phone: 770-904-6419 Fax: 770-904-6418 | |
Mrs. Rebekah A O'connor, M.S., CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3295 Lake Seminole Pl, Buford, GA 30519 Phone: 770-614-5646 | |
Mrs. Dana M Stolze, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3362 Anna Ruby Ln, Buford, GA 30519 Phone: 770-789-6270 |