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

Dr. Jo Shackelford, EDD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1740527100

Dr. Jo Shackelford, EDD, CCC-SLP is a Qualified Speech Language Pathologist in Bowling Green, Kentucky. Qualified in 1986, 40 years ago. Practices with University of Massachusetts, a 6-clinician group. Licensed in Kentucky.

Years since qualifying
40
Licensed in
KY
In the registry since
2013
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1918 Mosswood Dr
Bowling Green, KY 42104-4550
Phone: (270) 202-3316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1374 (KY)

Record details

NPI number1740527100
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 4, 2013
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice University Of Massachusetts — 6 clinicians
Accepts Medicare assignment Not indicated

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