Patty Richardson, BSE, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA10879 Issued in AZ

Practice address

5229 W Desert Cove Ave
Glendale, AZ 85304-4224

Phone

(623) 606-7177

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1467964452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 W DESERT COVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044224",
            "telephone_number": "623-606-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 W DESERT COVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044224",
            "telephone_number": "623-606-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "PATTY",
        "credential": "BSE, SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA10879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Mae Richard, M. ED
• Wendy Richard, MA, MSW, LCSW
• Kimberly Richards
• Richelle Marie Richards, M.S. CCC-SLP
• Naomi Richardson
• Phillip E Richardson, D.P.M.
• Scott Ronald Richardson, MPT
• Shannon Richardson, DPT
• Suzanne Richardson
• Johanna-Marie Richey, DPM

• Speech-Language Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.