Provider Demographics
NPI:1629155759
Name:GRATTON, CHERYL A (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:A
Last Name:GRATTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 1577
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2247
Mailing Address - Country:US
Mailing Address - Phone:404-685-0226
Mailing Address - Fax:404-522-3332
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:SUITE 1577
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-685-0226
Practice Address - Fax:404-522-3332
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA1681103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist