OrganizationActive
Klc Pediatric Therapy, LLC
NPI 1306629142 · Speech-Language Pathologist · Aledo, TX
Provider details
- NPI number
- 1306629142
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Jacey Bullock, Owner(214) 803-1699
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1015 Champions Dr # 102
Aledo, TX 76008-3206
Phone: (214) 803-1699
Street-level locationGet directions
Mailing address
418 Prairie Run
Aledo, TX 76008-1170
Additional practice locations (1)
- 701 Highway 352Mesquite, TX 75149-6897Phone: (214) 803-1699
Registry dates
- Enumerated
- 2023-08-16
- Last updated
- 2023-08-17
- Certified
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.