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KLC PEDIATRIC THERAPY, LLC
NPI 1306629142
Speech-Language Pathologist in Aledo, TX

Active since August 16, 2023
1015 CHAMPIONS DR # 102, ALEDO, TX 76008(214) 803-1699 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Klc Pediatric Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLC PEDIATRIC THERAPY, LLC (NPI 1306629142) is a healthcare organization registered as a speech-language pathologist in Aledo, Texas and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Mesquite and lists Jacey Bullock, Owner, as its authorized official.

NPPES Registry Identity

NPI1306629142
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameKLC PEDIATRIC THERAPY, LLC
Location Address1015 CHAMPIONS DR # 102Aledo, TX 76008-3206
Mailing Address418 Prairie RunAledo, TX 76008-1170 · (214) 803-1699
Phone(214) 803-1699
Organization SubpartNo
Authorized OfficialJacey BullockOwner · (214) 803-1699
Enumeration DateAugust 16, 2023
Last NPPES UpdateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1306629142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1015 CHAMPIONS DR # 102, Aledo, TX 76008
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Secondary Practice Location 1

Location 1701 Highway 352Mesquite, TX 75149-6897 · Phone (214) 803-1699

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACEY LAYNE BULLOCK M.S., CCC-SLP
Speech-Language Pathologist
1015 CHAMPIONS DR # 102
ALEDO, TX 76008
Parker County (214) 803-1699
BAILEY ANNE TRAVIS CCC-SLP
Speech-Language Pathologist
1015 CHAMPIONS DR # 102
ALEDO, TX 76008
Parker County (214) 803-7805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Klc Pediatric Therapy, LLC's NPI number?

The NPI number for Klc Pediatric Therapy, LLC is 1306629142. It was assigned to this organization in the NPPES registry on August 16, 2023.

Where is Klc Pediatric Therapy, LLC located?

Klc Pediatric Therapy, LLC is located at 1015 Champions Dr # 102, Aledo, TX 76008. The listed phone number is (214) 803-1699.

What is Klc Pediatric Therapy, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Klc Pediatric Therapy, LLC was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.