Provider Demographics
NPI:1053816538
Name:OAKLEY, ANNA REED (MS)
Entity Type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:REED
Last Name:OAKLEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1688 DOGWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-5235
Mailing Address - Country:US
Mailing Address - Phone:678-591-5778
Mailing Address - Fax:
Practice Address - Street 1:1688 DOGWOOD TRL
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-5235
Practice Address - Country:US
Practice Address - Phone:678-591-5778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA23OtherSLP