MS. MARY SHANNON BONK M.S. CCC-SLP NPI 1114166386

NPI Information

  • NPI: 1114166386
  • Provider Name: MS. MARY SHANNON BONK, M.S. CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 43618 CARRADOC FARM TER
    LEESBURG, VA
    ZIP 20176
  • Phone: (571) 333-3811

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NPI Details

MS. Mary Shannon Bonk, M.S. CCC-SLP is a speech language pathologist in Leesburg, VA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MS. Mary Shannon Bonk, M.S. CCC-SLP NPI is 1114166386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

43618 CARRADOC FARM TER
LEESBURG, VA
ZIP 20176-232
Phone: (571) 333-3811
Fax: (571) 333-3811

The enumeration date for this NPI number is 2/12/2009 and was last updated on 3/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist2202001042VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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