Active NPIIndividual provider

Lara K Collicott, SPEECH PATHOLOGIST

Speech-Language Pathologist, in Caribou, Maine

NPI Number1063625713
Practice location
163 Van Buren RD, Caribou, ME 04736-3567
Fax
207-498-1653
Last updated
December 30, 2009

Lara Kathryn Collicott is a Speech-Language Pathologist, based in Caribou, ME. Lara Kathryn Collicott practices in Caribou, ME and has the professional credentials of SPEECH PATHOLOGIST. The NPI Number for Lara Kathryn Collicott is 1063625713 and holds a License No. 759 (ME). The current practice location address for Lara Kathryn Collicott is 163 Van Buren RD, Caribou, ME 04736-3567 and can be reached out via phone at 207-498-3111 and via fax at 207-498-1653.

Provider Profile Details

NPI Number
1063625713
Provider Name
Lara Kathryn Collicott
Credential
SPEECH PATHOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
163 Van Buren RD, Caribou, ME 04736-3567
Phone Number
207-498-3111
Fax Number
207-498-1653
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 8, 2007
Last Update Date
December 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Van Buren RD
Caribou, ME 04736-3567
State
Maine
Zip
04736-3567
Phone Number
207-498-3111
Fax Number
207-498-1653
Caribou, ME 04736Get directions →

Provider Business Mailing Address Details

Address
163 Van Buren RD
Caribou, ME 04736-3567
City
Caribou
State
ME
Zip
04736-3567
Phone Number
207-498-3111
Fax Number
207-498-1653

License Information

License Number
759
License State
ME
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lara K Collicott, SPEECH PATHOLOGIST?

The NPI number of Lara K Collicott, SPEECH PATHOLOGIST is 1063625713. It was assigned on May 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Lara K Collicott, SPEECH PATHOLOGIST?

Lara K Collicott, SPEECH PATHOLOGIST is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number 759.

Where does Lara K Collicott, SPEECH PATHOLOGIST practice?

The practice location is 163 Van Buren RD, Caribou, ME 04736-3567. The office can be reached at 207-498-3111 (phone) or 207-498-1653 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063625713 directly on the NPPES registry website.

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