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Mary Richardson, MACCC-SLP
Speech-Language Pathologist in Fort Wayne, Indiana
NPI 1962964064

Mary Richardson is a Speech-Language Pathologist based in Fort Wayne, IN. Mary Richardson practices in Fort Wayne, IN and has the professional credentials of MACCC-SLP. The NPI Number for Mary Richardson is 1962964064 and holds a License No. 22004744A (Indiana).

The current practice location address for Mary Richardson is 5930 Hallowell Pl, Fort Wayne, IN and can be reached out via phone at 260-409-0687.

Location: 5930 Hallowell Pl, Fort Wayne, IN, 46815-6214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962964064
Provider Name
Mary Richardson
Credential
MACCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
5930 Hallowell Pl, Fort Wayne, IN, 46815-6214
Phone Number
260-409-0687
Fax Number
Provider Enumeration Date
04/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12147615 01 IN ASHA
22004744A 01 IL IPLA
institution
Provider Business Practice Location Address Details
Address
5930 Hallowell Pl
City
Fort Wayne
State
Indiana
Zip
46815-6214
Phone Number
260-409-0687
Fax Number
person
Provider Business Mailing Address Details
Address
5930 Hallowell Pl
City
Fort Wayne
State
Indiana
Zip
46815-6214
Phone Number
260-409-0687
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
22004744A (Indiana)
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.
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