Dr Jo Shackelford, EDD, CCC-SLP | |
1918 Mosswood Dr, Bowling Green, KY 42104-4550 | |
(270) 202-3316 | |
Not Available |
Full Name | Dr Jo Shackelford |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1918 Mosswood Dr, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740527100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 1374 (Kentucky) | Primary |
Provider Name | University Of Massachusetts |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821171059 PECOS PAC ID: 6507843760 Enrollment ID: O20170519000891 |
Mailing Address | Practice Location Address |
---|---|
Dr Jo Shackelford, EDD, CCC-SLP 1133 Chestnut St., #3, Bowling Green, KY 42101 Ph: (270) 202-3316 | Dr Jo Shackelford, EDD, CCC-SLP 1918 Mosswood Dr, Bowling Green, KY 42104-4550 Ph: (270) 202-3316 |
Amanda Sadler, M.S. CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5855 Richpond Rd, Bowling Green, KY 42104 Phone: 270-535-1853 | |
Adair Mcalister, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5079 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-999-4626 | |
Cora Spiller, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1053 Lovers Ln, Bowling Green, KY 42103 Phone: 270-807-0335 | |
Amanda Nicole Webb, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 980 Morgantown Rd, Bowling Green, KY 42101 Phone: 270-495-1312 | |
Mrs. Miranda Mize Hunt, MS, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 5079 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-781-2462 | |
Ashley Marie Sterchi, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 Phone: 270-495-1312 | |
Olivia Grace Jones, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 952 Fairview Ave Ste 4, Bowling Green, KY 42101 Phone: 270-938-0101 |