Buck Jack LLC
NPI #1871106997 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1871106997
- Entity Type
- Organization
- Organization Name
- Buck Jack LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 28, 2020
- Last Updated
- Oct 1, 2020
Practice Location
- Address
- 830 TENDERFOOT HILL RD STE 100
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80906-7372
- Phone
- (719) 623-4500
Authorized Official
- Name
- WILLIAM COLT
- Title
- PRESIDENT
- Phone
- (713) 410-6889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Psychologist |
| Psychologist - Clinical — Clinical |
| Physical Therapist |
| Occupational Therapist |
| Speech-Language Pathologist |
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