| Shelby Lynn Jackloski, MM, MS, CCC-SLP | |
|
6035 Fairview Rd, Charlotte, NC 28210-3256 | |
| (704) 295-3000 | |
| (704) 295-3468 |
| Full Name | Shelby Lynn Jackloski |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6035 Fairview Rd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902584063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SZ11299 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | 30003454 (North Carolina) | Primary |
| Provider Name | Florida Ent Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184625733 PECOS PAC ID: 4587556923 Enrollment ID: O20040329001213 |
| Provider Name | Florida Movement Therapy Center-boynton Beach Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013105196 PECOS PAC ID: 1759464837 Enrollment ID: O20080213000029 |
| Provider Name | Florida Movement Therapy Center-boca Raton, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407118268 PECOS PAC ID: 6507014768 Enrollment ID: O20120912000560 |
| Provider Name | Florida Movement Therapy Center Gardens Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659825891 PECOS PAC ID: 7012205347 Enrollment ID: O20161019000968 |
| Provider Name | Florida Movement Therapy Center-plantation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285146431 PECOS PAC ID: 3577811181 Enrollment ID: O20180730001740 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Lynn Jackloski, MM, MS, CCC-SLP 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 | Shelby Lynn Jackloski, MM, MS, CCC-SLP 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 |
Tia Mcknight, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9120 Lenox Pointe Dr, Apt. 206, Charlotte, NC 28273 Phone: 931-205-7669 | |
Mrs. Christina Berkau Pope, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1116 Linda Ln, Charlotte, NC 28211 Phone: 919-815-7184 | |
Mrs. Lindsay R Starr, MHS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2124 Chatham Ave, Charlotte, NC 28205 Phone: 314-703-8013 | |
Primus Therapy Services, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9407 Pastern Ct, Charlotte, NC 28216 Phone: 704-779-2663 | |
Catherine Maria Graye, MS-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1805 Mt Isle Harbor Dr, Charlotte, NC 28214 Phone: 704-277-0294 | |
Speechworks Therapy Services Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3116 Milton Rd Ste F, Charlotte, NC 28215 Phone: 980-237-6226 Fax: 980-237-6288 | |
Lindsay M White, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8484 Fax: 704-355-4231 |