Klc Pediatric Therapy, LLC
NPI #1306629142 in Aledo, Texas
Provider Information
- NPI Number
- 1306629142
- Entity Type
- Organization
- Organization Name
- Klc Pediatric Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 16, 2023
- Last Updated
- Aug 17, 2023
Practice Location
Authorized Official
- Name
- JACEY BULLOCK, M.S., CCC-SLP
- Title
- OWNER
- Phone
- (214) 803-1699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
Additional Practice Locations
701 Highway 352
Mesquite, TX, 75149-6897
(214) 803-1699
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