Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariam Moldenhauer, MA

Individual provider Speech-Language Pathologist · NPI 1376162479

Mariam Moldenhauer, MA is a Speech-Language Pathologist in Doraville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6035 Peachtree Rd Ste C1206035
Doraville, GA 30360-3230
Phone: (770) 410-7719
Fax: (770) 410-9510
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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 SLP010986 (GA)

Record details

NPI number1376162479
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedApril 9, 2020
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234

Other providers in Doraville