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

Mrs. Yelena Mamedova, MSCCC/SLP

Individual provider Speech-Language Pathologist · NPI 1306125067

Mrs. Yelena Mamedova, MSCCC/SLP is a Speech-Language Pathologist in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011

Practice location Address checks out

13 Clark St Unit 2
Waltham, MA 02453-6012
Phone: (617) 733-4378
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 5476 (MA)

Record details

NPI number1306125067
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC/SLP
Sole proprietorYes
NPI enumeratedAugust 12, 2011
Last updated in NPPESAugust 12, 2011

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