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

Individual provider Speech-Language Pathologist · NPI 1952712606

Shannon Leary, CCC-SLP is a Qualified Speech Language Pathologist in Waltham, Massachusetts. Qualified in 2013, 13 years ago. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2014
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

220 Bear Hill Rd Ste 102
Waltham, MA 02451
Phone: (781) 790-8479
Fax: (781) 281-9181
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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 SLP9223 (MA)

Record details

NPI number1952712606
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMay 15, 2014
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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