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MRS. MARY ALICE PETERSEN MA, CCC-SLP
NPI 1063661916
Speech-Language Pathologist in Newcastle, WY

Active since September 16, 2008
104 STAMPEDE ST, NEWCASTLE, WY 82701(307) 746-4560 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Alice Petersen Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ALICE PETERSEN MA, CCC-SLP (NPI 1063661916) is an individual speech-language pathologist provider in Newcastle, Wyoming, licensed in Wyoming (#SP-391) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1063661916
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. MARY ALICE PETERSENCredential: MA, CCC-SLP
Location Address104 STAMPEDE STNewcastle, WY 82701-3037
Mailing Address104 Stampede StNewcastle, WY 82701-3037 · (307) 746-4560
Phone(307) 746-4560
Sole ProprietorYes
Enumeration DateSeptember 16, 2008
Last NPPES UpdateFebruary 15, 2017
✔ NPI 1063661916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WY · #SP-391
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
104 STAMPEDE ST, Newcastle, WY 82701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHALYN TRIMBLE
Occupational Therapist
104 STAMPEDE ST
NEWCASTLE, WY 82701
Weston County (307) 746-4560
WESTON COUNTY CHILDREN'S CENTER
Clinic/Center (Developmental Disabilities)
104 STAMPEDE ST
NEWCASTLE, WY 82701
Weston County (307) 746-3541
NATHINA CRABTREE
Occupational Therapist
104 STAMPEDE ST
NEWCASTLE, WY 82701
Weston County (307) 746-4560
NICOLE ELIZABETH JORDAN SLP
Speech-Language Pathologist
104 STAMPEDE ST
NEWCASTLE, WY 82701
Weston County (307) 746-4560
MRS. DEBRA JEAN DOEKSEN-GOULD MA CCC-SLP
Speech-Language Pathologist
104 STAMPEDE ST
NEWCASTLE, WY 82701
Weston County (307) 745-4560
MARY M STREIB
Speech-Language Pathologist
104 STAMPEDE ST
NEWCASTLE, WY 82701
Weston County (307) 746-3541
MS. MONA A. STENSON OTR/L
Specialist
104 STAMPEDE ST
NEWCASTLE, WY 82701
Weston County (307) 746-4560
TINA CHICK LPC
Counselor (Professional)
104 STAMPEDE ST
NEWCASTLE, WY 82701
Weston County (307) 746-3541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Petersen's NPI number?

The NPI number for Mary Petersen is 1063661916. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Mary Petersen located?

Mary Petersen practices at 104 Stampede St, Newcastle, WY 82701. The listed phone number is (307) 746-4560.

What is Mary Petersen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Mary Petersen accept?

Health plans from Blue Cross Blue Shield of Wyoming list Mary Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Petersen was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.