Tavia Foster Evans, CCC-SLP | |
3756 Lavista Rd, Suite 104, Tucker, GA 30084-5614 | |
(404) 477-9400 | |
Not Available |
Full Name | Tavia Foster Evans |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3756 Lavista Rd, Tucker, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992957187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP006900 (Georgia) | Secondary |
235Z00000X | Speech-language Pathologist | 08947 (Maryland) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588013155 PECOS PAC ID: 6507832573 Enrollment ID: O20160809003104 |
Mailing Address | Practice Location Address |
---|---|
Tavia Foster Evans, CCC-SLP 3577 Chamblee Tucker Rd, Suite A #279, Atlanta, GA 30341-4422 Ph: (678) 577-1768 | Tavia Foster Evans, CCC-SLP 3756 Lavista Rd, Suite 104, Tucker, GA 30084-5614 Ph: (404) 477-9400 |
Ms. Danielle Moore, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3756 Lavista Rd, Suite 104, Tucker, GA 30084 Phone: 404-477-9400 | |
Marcelle Foley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1979 Lakeside Pkwy, Tucker, GA 30084 Phone: 866-755-4599 | |
Mrs. Jarrett Roux Jackson, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3756 Lavista Rd, Suite 104, Tucker, GA 30084 Phone: 404-477-9400 | |
Mr. Troy E Parr, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1979 Lakeside Pkwy Ste 800, Tucker, GA 30084 Phone: 866-507-3049 Fax: 866-222-6230 | |
Jessica Spruyt, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3756 Lavista Rd Suite 104, Tucker, GA 30084 Phone: 404-477-9400 | |
Mrs. Helayne Solomon, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3756 Lavista Rd, Suite 104, Tucker, GA 30084 Phone: 404-457-6890 | |
Candance Purcell, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1979 Lakeside Parkway Suite 800, Tucker, GA 30084 Phone: 866-507-3049 |