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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JO SHACKELFORD, ED.D., CCC-SLP

Deactivated

DR. JO SHACKELFORD, ED.D., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in BOWLING GREEN, Kentucky. NPI 1740527100 is deactivated in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · BOWLING GREEN, KY

This NPI has been deactivated. The record was deactivated on April 16, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1740527100
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2013 (5.2794520547945 yrs)
Last Updated
Feb 26, 2020
Deactivated
Apr 16, 2018
License
1374 (KY)

Practice Information

Address
1918 MOSSWOOD DR
BOWLING GREEN, KY, 421044550
Browse KY providers · Browse ZIP 42104
Phone
2702023316
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in BOWLING GREEN, KY

Name Credential NPI
MRS. MICHELLE A HOLMES MS, CCC-SLP 1508815051
MRS. CAROLINE ALEXANDER HUDSON MS CCC SLP 1417055757
MR. JOHN PAUL LOGSDON M.S. CCC/SLP 1629161831
MRS. APRIL DAWN HARDISON MS, CCC/SLP 1295815470
MRS. MELANIE JO LORD 1093881583
DAWNELLE M LAWRENCE SLP 1467520015
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.