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

Shannon Elyse Bothwell, MSSLP-CFY

Individual provider Speech-Language Pathologist · NPI 1205215407

Shannon Elyse Bothwell, MSSLP-CFY is a Speech-Language Pathologist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015

Practice location Address checks out

6239 S East St Ste A
Indianapolis, IN 46227-2088
Phone: (317) 442-4734
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 46002739A (IN)

Record details

NPI number1205215407
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP-CFY
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 21, 2015

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