Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelby Lynn Jackloski, MM, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902584063

Shelby Lynn Jackloski, MM, MS, CCC-SLP is a Qualified Speech Language Pathologist in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Charlotte Eye Ear Nose and Throat Associates PA, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
4
Licensed in
FL, NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone: (704) 295-3000
Fax: (704) 295-3468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10305 Hamptons Park Dr Ste 201, Huntersville, NC 28078-7222 — (704) 295-3600

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30003454 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SZ11299 (FL)

Record details

NPI number1902584063
Entity typeIndividual (Type 1)
GenderFemale
Credentials MM , MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Charlotte Eye Ear Nose And Throat Associates Pa — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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