Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John M Costello, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1962472720

John M Costello, CCC-SLP is a Qualified Speech Language Pathologist in Waltham, Massachusetts. Qualified in 1985, 41 years ago. Licensed in Massachusetts.

Years since qualifying
41
Licensed in
MA
In the registry since
2006
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

9 Hope Ave
Waltham, MA 02453-2741
Phone: (781) 216-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2970 (MA)

Record details

NPI number1962472720
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESJuly 13, 2026
Mailing address51 Chilton Rd, West Roxbury, MA 02132-1717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Not indicated

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