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

Individual provider Speech-Language Pathologist · NPI 1225580434

Shira Wallin, MA, CCC-SLP is a Speech-Language Pathologist in Boston, Massachusetts. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

2 Portina Rd
Boston, MA 02135-4619
Phone: (845) 915-0999
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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 6095 (NM)

Record details

NPI number1225580434
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 4, 2016
Last updated in NPPESNovember 4, 2016

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