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NPI 1306629142
● Active Type 2 · Organization
Klc Pediatric Therapy, Llc
Speech-Language Pathologist · Aledo, TX · NPI 1306629142
·
Enumerated 2023 · 2 years on NPI
Klc Pediatric Therapy, Llc is 1 of 18055 speech-language pathologist organizations in Texas.
NPI age
2 years
Enumerated 2023-08-16
Primary specialty
Speech-Language Pathologist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Bullock
Owner
Last NPPES update
2023-08-17
Source: monthly bulk 2026-05
How this organization compares
Across 18055 active speech-language pathologist providers in Texas.
NPI age
2 years
↓ 5 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2023 → 2026
2023-08 Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1015 Champions Dr # 102
Aledo, TX 760083206
📞 2148031699
Mailing address
418 Prairie Run
Aledo, TX 760081170
📞 2148031699
Additional practice locations
1 secondary location on file with NPPES.
Location 2
701 Highway 352
Mesquite, TX 751496897
📞 2148031699
Authorized official
Jacey Bullock, M.S., CCC-SLP
Owner
📞 2148031699
Individual providers at this organization
2 individual providers on file at this primary practice address.
Jacey Bullock , M.S., CCC-SLP
Speech-Language Pathologist
NPI 1568717155
Bailey Travis , CCC-SLP
Speech-Language Pathologist
NPI 1619634201
Specialties
Speech-Language Pathologist
Primary
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...
taxonomy 235Z00000X
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
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Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.