Buck Jack Llc is a Psychology Clinic in Colorado Springs, Colorado. It is located at 2233 Academy Pl Ste 200, Colorado Springs, CO and its contact number is 719-301-0002. The authorized person for Buck Jack Llc is Tanner Denn
who is Credentialing Specialist of the clinic and his/her contact number is 719-428-1840. Buck Jack Llc Clinic is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Buck Jack Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Buck Jack Llc
Specialization:
Psychology
Clinic Address:
2233 Academy Pl Ste 200, Colorado Springs, Colorado, 80909-1666
Phone:
719-301-0002
Fax:
719-599-4606
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Tanner Denn
Position:
Credentialing Specialist
Contact Number:
719-428-1840
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Buck Jack Llc clinic are as mentioned below.
NPI Number:
1063025138
NPI Enumeration Date:
28 Aug, 2020
NPI Last Update On:
28 Feb, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Buck Jack Llc are as mentioned below.
Specialization
License Number
State
Status
Speech-language Pathologist
Primary
Behavioral Analyst
Secondary
Psychologist
Secondary
Physical Therapist
Secondary
Occupational Therapist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9000188729
Medicaid
Colorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Buck Jack Llc 2233 Academy Pl Ste 200, Colorado Springs, Colorado
Zip:
80909-1666
Phone Number:
719-597-0822
Fax Number:
719-599-4606
Patients can reach Buck Jack Llc at 2233 Academy Pl Ste 200, Colorado Springs, Colorado or can call to book an appointment on 719-301-0002. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.