Mary Petersen, MA, CCC-SLP
NPI 1063661916 · Speech-Language Pathologist · Newcastle, WY
Mary Petersen, MA, CCC-SLP is a Speech-Language Pathologist provider in Newcastle, WY (NPI 1063661916).
Provider details
- NPI number
- 1063661916
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- #SP-391 (WY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2017-02-15
Frequently asked questions
- What is Mary Petersen's NPI number?
- Mary Petersen's National Provider Identifier (NPI) is 1063661916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Petersen's specialty?
- Mary Petersen is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Mary Petersen located?
- Mary Petersen's practice location on file with NPPES is 104 Stampede St, Newcastle, WY 82701-3037.
- What is Mary Petersen's phone number?
- The practice phone number listed in the NPPES registry for Mary Petersen is (307) 746-4560.
- Is Mary Petersen's NPI active?
- Yes — Mary Petersen's NPI (1063661916) is active in the NPPES registry as of the last update on 2017-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.