| Octavia Elizabeth Cherry, SLP | |
|
707 Park Ave Ne, Atlanta, GA 30326-3401 | |
| (414) 213-6601 | |
| Not Available |
| Full Name | Octavia Elizabeth Cherry |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 707 Park Ave Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881284685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242005894 (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP011776 (Georgia) | Primary |
| Provider Name | Onr National Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20210929000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Octavia Elizabeth Cherry, SLP 707 Park Ave Ne, Atlanta, GA 30326-3401 Ph: (414) 213-6601 | Octavia Elizabeth Cherry, SLP 707 Park Ave Ne, Atlanta, GA 30326-3401 Ph: (414) 213-6601 |
Alexandra Flanick, PCE-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1835 Savoy Dr, Suite 100, Atlanta, GA 30341 Phone: 678-298-9484 Fax: 678-826-4033 | |
Mrs. Maria Thereza Barbosa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1890 Harts Mill Rd Ne, Atlanta, GA 30341 Phone: 561-901-6310 | |
Amanda Zito Griffin, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5825 Glenridge Dr Ne, Bldg 1, Suite 133, Atlanta, GA 30328 Phone: 404-513-3810 Fax: 404-902-5440 | |
Rachel Lynn Nagawiecki, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1462 Clifton Rd Ne Ste 280, Atlanta, GA 30322 Phone: 404-727-7825 | |
Erin E Gustafson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2174 N Druid Hills Rd Ne, Atlanta, GA 30329 Phone: 404-785-7022 | |
Ms. Anna Gardiner Johnson, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1872 Colt Dr # 2, Atlanta, GA 30341 Phone: 404-825-0409 | |
Anna Jane Streetman, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 336 W Wieuca Rd Ne, Atlanta, GA 30342 Phone: 706-614-4808 |