MARY RICHARDSON


Address: 5930 Hallowell Pl, Fort Wayne, IN 46815-6214
Phone: 2604090687

MARY RICHARDSON (NPI# 1962964064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962964064
Entity Type Individual
Full Name MARY RICHARDSON
Credential MA CCC-SLP
Practice Address 5930 Hallowell Pl
Fort Wayne
IN 46815-6214
Practice Telephone 2604090687
Mailing Telephone 2604090687
Enumeration Date 2019-04-05
Last Update Date 2019-04-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 22004744A IN Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN ASHA 12147615 01
IL IPLA 22004744A 01

Other Providers MARY RICHARDSON

NPI Name Taxonomy Address Enumeration
1407455959 Mary Lee Richardson Specialist/Technologist 1591 Glenn Pl Sw, Mableton, GA 30126-1170 2020-10-25
1588047583 Mary Constance Richardson Physician Assistant 345 23rd Ave N Ste 212, Nashville, TN 37203-1513 2015-07-08
1538595376 Mary Richardson Behavioral Analyst 7906 Bayonet Cir Apt C, Colorado Springs, CO 80902 2013-09-25
1588007132 Mary Richardson Physical Therapy Assistant 211 Wood Ridge Ln, Lowgap, NC 27024-8909 2013-04-14
1235325952 Mary Sue Richardson Psychologist 324 W 71st St, New York, NY 10023-3528 2007-09-17
1790803161 Mary Lou Richardson Dentist 216 Mayfair Dr, Rocky Mt, NC 27804-3072 2007-03-26
1538209176 Mary Anne Richardson Midwife 613 Shadycrest Ln, Franklin, TN 37064-5110 2007-02-06
1265579908 Mary Isabel Richardson Marriage & Family Therapist 30246 Shoreline Dr, Menifee, CA 92584-8009 2007-01-31
1114076866 Mary Lynn Richardson Physical Therapist 1310 Baker St, Longmont, CO 80501 2007-01-10
1528044492 Mary Richardson Nurse Practitioner 236 E Westfield Ave, Roselle Park, NJ 07204-2084 2005-12-21

Office Location

Street Address 5930 HALLOWELL PL
City FORT WAYNE
State IN
Zip Code 46815-6214

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306305438 Sullivan Services, Inc. In Home Supportive Care 2789-b Maplecrest Rd, Fort Wayne, IN 46815 2019-03-18
1598250144 Altermease Gleason Massage Therapist 3406 Thames Drive, Fort Wayne, IN 46815 2018-06-26
1881000222 Denise Sparks Specialist 6415 Benham Drive, Fort Wayne, IN 46815 2014-07-07
1962823138 Chad Distelrath Physical Therapy Assistant 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 2013-12-13
1689943409 Kendall Joan Labrash Physical Therapist 4251 Lahmeyer Rd., Fort Wayne, IN 46815 2011-12-22
1801179718 Jayson Laube Pharmacist 6201 Stellhorn, Fort Wayne, IN 46815 2011-09-27
1720294432 Muscle Therapy Clinic LLC Massage Therapist 6409 Georgetown North Blvd, Fort Wayne, IN 46815 2007-05-16
1427186436 Legoras Conture Fashions Prosthetic/Orthotic Supplier 3316 Inwood Drive, Fort Wayne, IN 46815 2007-03-01
1932252772 Fort Wayne Smiles PC Dentist 2031 Reed Road, Fort Wayne, IN 46815 2007-01-18
1811078538 Timothy Doody Lynch Dentist 4207 Hobson Court, Fort Wayne, IN 46815 2006-10-18
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477110674 Ronalee Marie Rasmussen Speech-Language Pathologist 2831 Settlement Creek Run, Fort Wayne, IN 46804-6077 2019-05-22
1528525490 Katharine Gregg Speech-Language Pathologist 2006 Edith Ave, Fort Wayne, IN 46808-2288 2019-02-26
1184146748 Danielle Macias Speech-Language Pathologist 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 2017-07-14
1710409933 Jacqueline Brooks Speech-Language Pathologist 7902 Crosshill Ct, Fort Wayne, IN 46825-3191 2017-07-10
1427503242 Nicole Altherr Speech-Language Pathologist 5601 Coventry Lane, Fort Wayne, IN 46804-5435 2016-08-22
1104295021 Courtney A Miller Speech-Language Pathologist 2427 Maples Rd, Fort Wayne, IN 46816-2427 2015-09-21
1326462441 Mariela Ramos-hernandez Speech-Language Pathologist 9426 Lima Rd Ste A, Fort Wayne, IN 46818-8681 2014-02-10
1487097804 Abby Crouse Speech-Language Pathologist 804 Owls Pt, Fort Wayne, IN 46825-2854 2013-04-16
1245576511 Angela K Baxter Speech-Language Pathologist 6126 Groveland Dr, Fort Wayne, IN 46835-3715 2012-12-14
1285981134 Stephanie Marie Ramos Speech-Language Pathologist 4422 East State Boulevard, Fort Wayne, IN 46815-6917 2012-08-10
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46815

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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