Organization · Type 2 NPI

Buck Jack LLC

Speech-Language Pathologist · Pueblo, CO

NPI number 1619580735 Active

Practice location

1301 Fortino Blvd
Pueblo, CO 81008-2032

Call (719) 696-7799 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Psychologist 103T00000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist Primary 235Z00000XNone 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 1619580735

Buck Jack LLC's National Provider Identifier is 1619580735, issued on Aug 28, 2020. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Pueblo, CO. The record was last updated on Feb 28, 2024.