Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Richardson, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1962964064

Mary Richardson, MACCC-SLP is a Speech-Language Pathologist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019

Practice location Address checks out

5930 Hallowell Pl
Fort Wayne, IN 46815-6214
Phone: (260) 409-0687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22004744A (IN)

Record details

NPI number1962964064
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedApril 5, 2019
Last updated in NPPESApril 5, 2019
Mailing address5930 Hallowell Pl, Fort Wayne, IN 46815-6214

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