THE SHANDY CLINIC
NPI 1790398907
Speech-Language Pathologist in Aurora, CO

Q: What is Buck Jack LLC's NPI number?

The NPI number for Buck Jack LLC is 1790398907. It was assigned to this organization in the NPPES registry on August 27, 2020.

Q: What is Buck Jack LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Buck Jack LLC was last updated on October 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2020

3131 S VAUGHN WAY STE 110, AURORA, CO 80014(303) 755-5534 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2020, Sep 22, 2020, Sep 15, 2020 and 1 more (4 updates tracked since 2020).

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About The Shandy Clinic NPPES

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

THE SHANDY CLINIC (NPI 1790398907) is a healthcare organization registered as a speech-language pathologist in Aurora, Colorado and active in the NPI registry since August 2020. The organization lists William Colt, President, as its authorized official.

NPPES Registry Identity

NPI1790398907

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameBUCK JACK LLC

Location Address3131 S VAUGHN WAY STE 110Aurora, CO 80014-3501

Mailing Address685 Citadel Dr E Ste 580Colorado Springs, CO 80909-5381 · (713) 725-9181

Phone(303) 755-5534

Organization SubpartNo

Authorized OfficialWilliam ColtPresident · (713) 410-6889

Enumeration DateAugust 27, 2020

Last NPPES UpdateOctober 1, 20204 updates tracked since enumeration

NPPES CertifiedOctober 1, 2020

✔ NPI 1790398907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

3131 S VAUGHN WAY STE 110, Aurora, CO 80014

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Other Names 1

Doing Business AsThe Shandy Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP