MR. Matthew Wade Richardson, CCC-SLP
NPI #1275051088 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1275051088
- Entity Type
- Individual
- Name
- MR. Matthew Wade Richardson, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Aug 31, 2017
- Last Updated
- Aug 30, 2019
Practice Location
- Address
- 3205 JENNY LIND RD
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-7101
- Phone
- (479) 785-2501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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