Individual provider · Type 1 NPI

Mary Josephine Wiencken, MS, CCC-SLP

Speech-Language Pathologist · Germantown, TN

NPI number 1730886409 Active

Practice location

3180 Professional Plz Ste 101
Germantown, TN 38138-1534

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Other practice locations

  • 1125 Schilling Blvd E Ste 112, Collierville, TN 38017-7078 · (901) 424-5621

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X7803 (TN)

Speech-Language Pathologist: 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, resonan…

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About NPI 1730886409

Mary Josephine Wiencken, MS, CCC-SLP's National Provider Identifier is 1730886409, issued on Feb 13, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Germantown, TN. The record was last updated on Jun 7, 2023.