Buck Jack Llc is a Psychology Clinic in Colorado Springs, Colorado. It is located at 917 E Moreno Ave Ste 150, Colorado Springs, CO and its contact number is 719-623-6650. 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. Other organizations associated with this clinic are Buck Jack Llc, Amy Shandy, Speech-language Pathologist, Llc, Buck Jack Llc, 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:
917 E Moreno Ave Ste 150, Colorado Springs, Colorado, 80903-4547
Phone:
719-623-6650
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:
1184237299
NPI Enumeration Date:
28 Aug, 2020
NPI Last Update On:
28 Feb, 2024
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Buck Jack Llc
Behavioral Analyst
1184237299
Amy Shandy, Speech-language Pathologist, Llc
Behavioral Analyst
1265039838
Buck Jack Llc
Behavioral Analyst
1730787920
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
9000185804
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:
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Patients can reach Buck Jack Llc at 917 E Moreno Ave Ste 150, Colorado Springs, Colorado or can call to book an appointment on 719-623-6650. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.