Shannon Leary, CCC-SLP
NPI 1952712606ActiveIndividual· Speech-Language Pathologist· Waltham, MA
Speech-Language Pathologist (CCC-SLP) in Waltham, Massachusetts, licensed in MA, with an NPI issued in May 2014. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1952712606 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC-SLP |
| Sole proprietor | No |
| NPI issued | May 15, 2014 |
| Last updated in NPPES | Aug 13, 2025 |
| Certified by provider | Aug 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP9223 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (FL); Practitioner - Qualified Speech Language Pathologist (MA); Practitioner - Qualified Speech Language Pathologist (NY) |
|---|
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