P Praxis·MD
● Active Type 1 · Individual

Mariam Moldenhauer, M.A.

Speech-Language Pathologist·Doraville, GA· NPI 1376162479 · Enumerated 2020 · 6 years on NPI
Moldenhauer is 1 of 35 speech-language pathologist providers in Doraville and 1 of 5327 in Georgia.
NPI age
6 years
Enumerated 2020-04-09
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age
6 years
↓ 4 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
6035 Peachtree Rd Ste C1206035
Doraville, GA 303603230
📞 7704107719fax 7704109510
Mailing address
6035 Peachtree Rd Ste C120
Doraville, GA 303603234
📞 6785143270

Specialties

  • Speech-Language Pathologist Primary
    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...
    GA license #SLP010986 taxonomy 235Z00000X

Identifiers

TypeValueNotes
05 (GA) 003232001C
05 (GA) 003232001B

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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