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AMANDA VAN STADEN M.S., CCC-SLP
NPI 1093173825
Speech-Language Pathologist in Marietta, GA

Active since February 08, 2016
1230 JOHNSON FERRY PL STE G10, MARIETTA, GA 30068(770) 321-6705 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2020, Feb 8, 2016 (2 updates tracked since 2016).

About Amanda Van Staden M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA VAN STADEN M.S., CCC-SLP (NPI 1093173825) is an individual speech-language pathologist provider in Marietta, Georgia, licensed in Georgia (SLP009103) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1093173825
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMANDA VAN STADENCredential: M.S., CCC-SLP
Location Address1230 JOHNSON FERRY PL STE G10Marietta, GA 30068-2045
Mailing Address1230 Johnson Ferry Pl Ste G10Marietta, GA 30068-2045 · (770) 321-6705
Phone(770) 321-6705
Sole ProprietorNo
Enumeration DateFebruary 8, 2016
Last NPPES UpdateSeptember 8, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
✔ NPI 1093173825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in GA · SLP009103
Definition
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.
1230 JOHNSON FERRY PL STE G10, Marietta, GA 30068
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Other Identifiers 1

Other14113603Asha

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINSAY RAE REIJMER OTR/L
Occupational Therapist
1230 JOHNSON FERRY PL STE G10
MARIETTA, GA 30068
Cobb County (770) 321-6705
ZAHRA A QURESHI MS, CCC-SLP
Speech-Language Pathologist
1230 JOHNSON FERRY PL STE G10
MARIETTA, GA 30068
Cobb County (770) 321-6705
REBECCA BRYNNE AHRENS OTR
Occupational Therapist
1230 JOHNSON FERRY PL STE G10
MARIETTA, GA 30068
Cobb County (770) 321-6705
ANNA HICKS
Occupational Therapist (Pediatrics)
1230 JOHNSON FERRY PL STE G10
MARIETTA, GA 30068
Cobb County (770) 321-6705
MARGARET CORDELL WARTSKI SLP
Speech-Language Pathologist
1230 JOHNSON FERRY PL STE G10
MARIETTA, GA 30068
Cobb County (770) 321-6705
BRYNNE BORNER FLICK
Speech-Language Pathologist
1230 JOHNSON FERRY PL STE G10
MARIETTA, GA 30068
Cobb County (770) 321-6705
TEMPERANCE MILLER ENNIS M.S.,OTR/L
Occupational Therapist
1230 JOHNSON FERRY PL STE G10
MARIETTA, GA 30068
Cobb County (770) 321-6705
MS. ANGELA MICHELLE ROSE
Occupational Therapist
1230 JOHNSON FERRY PL STE G10
MARIETTA, GA 30068
Cobb County (770) 321-6705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Van Staden's NPI number?

The NPI number for Amanda Van Staden is 1093173825. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is Amanda Van Staden located?

Amanda Van Staden practices at 1230 Johnson Ferry Pl Ste G10, Marietta, GA 30068. The listed phone number is (770) 321-6705.

What is Amanda Van Staden's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Amanda Van Staden was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.