NPI 1063625713
Lara Kathryn Collicott, SPEECHPATHOLOGIST
Practice location
- Address
- 163 van Buren Rd, Caribou, ME 04736-3567
- Phone
- (207) 498-3111
- Fax
- (207) 498-1653
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063625713
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 May 2007
- Record last updated
- 30 Dec 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.