Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Van Staden, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1093173825

Amanda Van Staden, MS, CCC-SLP is a Speech-Language Pathologist in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1230 Johnson Ferry Pl Ste G10
Marietta, GA 30068-2045
Phone: (770) 321-6705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP009103 (GA)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1093173825
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 8, 2016
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020

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