Individual provider · Type 1 NPI

Jo Shackelford, ED.D., CCC-SLP

Speech-Language Pathologist · Bowling Green, KY

NPI number 1740527100 Active · reactivated Feb 26, 2020

Practice location

1918 Mosswood Dr
Bowling Green, KY 42104-4550

Call (270) 202-3316 Map

Mailing address

1133 Chestnut St., #3
Bowling Green, KY 42101

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X1374 (KY)

Speech-Language Pathologist: 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, resonan…

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About NPI 1740527100

Jo Shackelford, ED.D., CCC-SLP's National Provider Identifier is 1740527100, issued on Jan 4, 2013. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Bowling Green, KY. The record was last updated on Feb 26, 2020.