Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376162479 Individual Practitioner Female Practitioner

Mariam Moldenhauer , MA

Speech-Language Pathologist • Doraville, GA

Professional Overview & Biography Verified Profile Summary

Mariam Moldenhauer, MA is a registered healthcare professional specializing in Speech-Language Pathologist in Doraville, GA. Practice services are available at 6035 PEACHTREE RD STE C1206035 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6035 Peachtree Rd Ste C1206035

Doraville, GA 303603230

Telephone 7704107719
Fax 7704109510
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Doraville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Doraville, GA (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP010986

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003232001C (GA)
Medicaid State Provider ID
003232001B (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Luke Prothro , MS CCC-SLP

Speech-Language Pathologist

NPI 1043148448

MSCCCSLP

Suzanne Brannam , OTR, L

Occupational Therapist

NPI 1043650021

Occupational Therapist Registered, L

Patricia Taylor , SLP

Speech-Language Pathologist

NPI 1053547190

Speech-Language Pathologist

Dawn Bader , MED

Speech-Language Pathologist

NPI 1164914867

Master of Education

Christy Bennett

Occupational Therapist - Physical Rehabilitation

NPI 1205172731
Justine Glover , SLP

Speech-Language Pathologist

NPI 1205809415

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 09, 2023

Registered at 6035 PEACHTREE RD STE C1206035, DORAVILLE, GA 303603230 (Tel: 7704107719)

📍
Updated Business Mailing Address February 09, 2023

Registered at 6035 PEACHTREE RD STE C120, DORAVILLE, GA 303603234 (Tel: 6785143270)

👤
Provider Name / Credentials Updated February 09, 2023

Recorded as MARIAM MOLDENHAUER, M.A.

NPI Profile Active April 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2020

Registered at 4080 MCGINNIS FERRY RD STE 302, ALPHARETTA, GA 300051737 (Tel: 7704107719)

📍
Updated Business Mailing Address April 09, 2020

Registered at 4080 MCGINNIS FERRY RD STE 302, ALPHARETTA, GA 300051737 (Tel: 7704107719)

👤
Provider Name / Credentials Updated April 09, 2020

Recorded as MARIAM TURNER, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2020

Speech-Language Pathologist (License #SLP010986 in GA)

🟢
Initial NPI Registration & Enumeration April 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376162479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2020
Last Update: February 09, 2023
Sole Proprietor: Yes

Mailing Address

6035 Peachtree Rd Ste C120

Doraville, GA 303603234

Phone: 6785143270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.