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

Individual provider Speech-Language Pathologist · NPI 1124747993

Mariel Augustine, CCC-SLP is a Speech-Language Pathologist in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
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

1831 W Rose Garden Ln Ste 4
Phoenix, AZ 85027-2725
Phone: (602) 808-9912
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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

Record details

NPI number1124747993
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 25, 2022
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address42211 N 41st Dr Ste 145, Anthem, AZ 85086-3812

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