Mary Richardson, MA CCC-SLP
NPI #1962964064 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1962964064
- Entity Type
- Individual
- Name
- Mary Richardson, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Apr 5, 2019
- Last Updated
- Apr 5, 2019
Practice Location
- Address
- 5930 HALLOWELL PL
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815-6214
- Phone
- (260) 409-0687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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