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

MS. Mary Shannon Bonk, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1114166386

MS. Mary Shannon Bonk, MSCCC-SLP is a Speech-Language Pathologist in Leesburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2009

Practice location Address checks out

43618 Carradoc Farm Ter
Leesburg, VA 20176-8232
Phone: (571) 333-3811
Fax: (571) 333-3811
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 2202001042 (VA)

Record details

NPI number1114166386
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 12, 2009
Last updated in NPPESMarch 11, 2009

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