Individual
OCTAVIA ELIZABETH CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
707 PARK AVE NE, ATLANTA, GA 30326-3401
(414) 213-6601
Mailing address
707 PARK AVE NE, ATLANTA, GA 30326-3401
(414) 213-6601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242005894
IL
235Z00000X
Speech-Language Pathologist
Primary
SLP011776
GA
Other
Enumeration date
01/25/2021
Last updated
09/05/2023
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