Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Shackle

Individual provider Speech-Language Pathologist · NPI 1720613318

Carly Shackle is a Qualified Speech Language Pathologist in Dublin, Ohio. Qualified in 2019, 7 years ago. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

4880 Tuttle Rd
Dublin, OH 43017-7566
Phone: (614) 760-8870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP.14341 (OH)

Record details

NPI number1720613318
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2020
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address3693 Mountshannon Rd, Columbus, OH 43221-5238

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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