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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY RICHARDSON, MA CCC-SLP

Active Sole Proprietor

MARY RICHARDSON, MA CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in FORT WAYNE, Indiana. NPI 1962964064 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · FORT WAYNE, IN

Registration Details

NPI Number
1962964064
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2019 (7.3557878956878 yrs)
Last Updated
Apr 5, 2019
License
22004744A (IN)
Sole Proprietor
Yes

Practice Information

Address
5930 HALLOWELL PL
FORT WAYNE, IN, 468156214
Browse IN providers · Browse ZIP 46815
Phone
2604090687
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in FORT WAYNE, IN

Name Credential NPI
MRS. KARI A MASON SLP 1306802939
MS. LINDSAY R GIBSON MA 1790794642
DEBRA KAY WYLIE SPEECH PATHOLOGIST 1194822734
MRS. JODI L GOGOS MSCCCSLP 1548369333
MRS. VALERIE LYNN GUALDONI MA,CCC-SLP 1982799912
MS. CARA L KAISER MS CCC-SLP 1881770204
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.