Buck Jack Llc

Speech-Language Pathologist · Pueblo, CO

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At a glance

1301 Fortino Blvd, Pueblo, CO 81008-2032

NPPES record updated Feb 28, 2024. Public records can lag behind changes at a practice.

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Practice location

1301 Fortino Blvd
Pueblo, CO 81008-2032
Professional details: NPI, taxonomy & registry record
NPI1619580735
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Aug 28, 2020
Record updated
Feb 28, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

103K00000X

Psychologist

103T00000X

Physical Therapist

225100000X

Occupational Therapist

225X00000X

Speech-Language Pathologist

235Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1301 Fortino Blvd
Pueblo, CO 81008-2032
Phone
(719) 696-7799
Mailing address
2233 ACADEMY PL STE 200

COLORADO SPRINGS, CO 809091666
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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