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

Individual provider Speech-Language Pathologist · NPI 1992964019

MS. Mary M. Wilson, MA, CCC-SLP is a Speech-Language Pathologist in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts 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

9040 Executive Park Dr Ste 102
Knoxville, TN 37923-4640
Phone: (865) 693-5622
Fax: (865) 769-0801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP0000002937 (TN)

Record details

NPI number1992964019
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 4, 2008
Last updated in NPPESJune 4, 2008

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