Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962964064 Individual Practitioner Female Practitioner

Mary Richardson , MA CCC-SLP

Speech-Language Pathologist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Mary Richardson, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fort Wayne, IN. Practice services are available at 5930 HALLOWELL PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5930 Hallowell Pl

Fort Wayne, IN 468156214

Telephone 2604090687

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
219 Specialists

Practicing in Fort Wayne, IN (3038 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22004744A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Asha
12147615 (IN)
Commercial Insurance / Payer ID Ipla
22004744A (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2019

Registered at 5930 HALLOWELL PL, FORT WAYNE, IN 468156214 (Tel: 2604090687)

📍
Updated Business Mailing Address April 05, 2019

Registered at 5930 HALLOWELL PL, FORT WAYNE, IN 468156214 (Tel: 2604090687)

👤
Provider Name / Credentials Updated April 05, 2019

Recorded as MARY RICHARDSON, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2019

Speech-Language Pathologist (License #22004744A in IN)

🟢
Initial NPI Registration & Enumeration April 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962964064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2019
Last Update: April 05, 2019
Sole Proprietor: Yes

Mailing Address

5930 Hallowell Pl

Fort Wayne, IN 468156214

Phone: 2604090687

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.