Organization · Type 2 NPI

Buck Jack, LLC

Speech-Language Pathologist · Fountain, CO

NPI number 1376425959 Active

Practice location

901 N Santa Fe Ave
Fountain, CO 80817-1738

Call (719) 597-0822 Map

Mailing address

2233 Academy Pl Ste 200
Colorado Springs, CO 80909-1666

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst	103K00000X	None listed
Behavior Technician	106S00000X	None listed
Occupational Therapy Assistant	224Z00000X	None listed
Physical Therapist	225100000X	None listed
Physical Therapy Assistant	225200000X	None listed
Occupational Therapist	225X00000X	None listed
Speech-Language Pathologist Primary	235Z00000X	None listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1376425959

Buck Jack, LLC's National Provider Identifier is 1376425959, issued on Jul 23, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fountain, CO. The record was last updated on Jul 23, 2025.