Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. MARY CAROL WIETZKE SLPA
NPI 1760388920
Specialist/Technologist - Speech-Language Assistant in Whiteriver, AZ

Q: What is Mary Wietzke's NPI number?

The NPI number for Mary Wietzke is 1760388920. It was assigned to this individual provider in the NPPES registry on October 15, 2026.

Q: What is Mary Wietzke's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wietzke was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.

Active since October 15, 2026

4325 FORT APACHE RD., BUILDING 3, WHITERIVER, AZ 85941(719) 696-0104 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mrs. Mary Carol Wietzke Slpa NPPES

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

MRS. MARY CAROL WIETZKE SLPA (NPI 1760388920) is an individual speech-language assistant in Whiteriver, Arizona, licensed in Arizona (SLPA17703) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1760388920

Entity TypeIndividualFemale

Primary Taxonomy2355S0801X

Provider Legal NameMRS. MARY CAROL WIETZKECredential: SLPA

Location Address4325 FORT APACHE RD., BUILDING 3Whiteriver, AZ 85941

Mailing AddressPo Box 1157Fort Apache, AZ 85926-1157 · (719) 696-0104

Phone(719) 696-0104

Sole ProprietorYes

Enumeration DateOctober 15, 2026

NPPES CertifiedOctober 13, 2026

✔ NPI 1760388920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers

Taxonomy Code2355S0801X

License✔ Licensed in AZ · SLPA17703

4325 FORT APACHE RD., Whiteriver, AZ 85941

Open in Google Maps ↗

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 Wietzke's NPI number?

The NPI number for Mary Wietzke is 1760388920. It was assigned to this individual provider in the NPPES registry on October 15, 2026.

Where is Mary Wietzke located?

Mary Wietzke practices at 4325 Fort Apache Rd. Building 3, Whiteriver, AZ 85941. The listed phone number is (719) 696-0104.

What is Mary Wietzke's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Mary Wietzke was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.