IndividualActive
Mariel Augustine, CCC-SLP
NPI 1124747993 · Speech-Language Pathologist · Phoenix, AZ
Provider details
- NPI number
- 1124747993
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1831 W Rose Garden Ln Ste 4
Phoenix, AZ 85027-2725
Phone: (602) 808-9912
Street-level locationGet directions
Mailing address
42211 N 41st Dr Ste 145
Anthem, AZ 85086-3812
Registry dates
- Enumerated
- 2022-08-25
- Last updated
- 2022-08-25
- Certified
- 2022-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.