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

Individual provider Speech-Language Pathologist · NPI 1730886409

Mary Josephine Wiencken, MS, CCC-SLP is a Speech-Language Pathologist in Germantown, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

3180 Professional Plz Ste 101
Germantown, TN 38138-1534
Phone: (901) 328-2104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7803 (TN)

Record details

NPI number1730886409
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

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