Active NPI
Stephanie Maurice
- Speech-Language Pathologist
- Doraville, GA
National Provider Identifier
1245040070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP013410
- Practice address
- 6035 Peachtree Rd Ste C120
Doraville, GA 30360-3234 - Phone
- (678) 514-3270
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP013410 | GA | Primary |
Addresses
Primary practice location
6035 Peachtree Rd Ste C120
Doraville, GA 30360-3234
Mailing address
1473 Keys Crossing Dr NE
Brookhaven, GA 30319-4056
Phone (845) 608-3471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP013410 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Pediatric Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Chamblee, GA
- NPI 1578622593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1245040070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1473 KEYS CROSSING DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303194056",
"telephone_number": "845-608-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6035 PEACHTREE RD STE C120",
"city": "DORAVILLE",
"state": "GA",
"postal_code": "303603234",
"telephone_number": "678-514-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURICE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP013410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doraville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.