Individual
CARLY SHACKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4880 TUTTLE RD, DUBLIN, OH 43017-7566
(614) 760-8870
Mailing address
3693 MOUNTSHANNON RD, COLUMBUS, OH 43221-5238
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20191073-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14341
OH
Other
Enumeration date
03/04/2020
Last updated
03/06/2026
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