MARY RICHARDSON MA CCC-SLP
NPI 1962964064
Speech-Language Pathologist in Fort Wayne, IN

Active since April 05, 2019
5930 HALLOWELL PL, FORT WAYNE, IN 46815(260) 409-0687 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Richardson Ma Ccc-slp NPPES

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

MARY RICHARDSON MA CCC-SLP (NPI 1962964064) is an individual speech-language pathologist provider in Fort Wayne, Indiana, licensed in Indiana (22004744A) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1962964064
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY RICHARDSONCredential: MA CCC-SLP
Location Address5930 HALLOWELL PLFort Wayne, IN 46815-6214
Mailing Address5930 Hallowell PlFort Wayne, IN 46815-6214 · (260) 409-0687
Sole ProprietorYes
Enumeration DateApril 5, 2019
NPI 1962964064 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 IN · 22004744A
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.
5930 HALLOWELL PL, Fort Wayne, IN 46815

Other Identifiers 2

Other12147615IN · Asha
Other22004744AIL · Ipla

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Richardson's NPI number?

The NPI number for Mary Richardson is 1962964064. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Mary Richardson located?

Mary Richardson practices at 5930 Hallowell Pl, Fort Wayne, IN 46815. The listed phone number is (260) 409-0687.

What is Mary Richardson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Richardson was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.