LARA KATHRYN COLLICOTT SPEECH PATHOLOGIST
NPI 1063625713
Speech-Language Pathologist in Caribou, ME

Active since May 08, 2007
163 VAN BUREN RD, CARIBOU, ME 04736(207) 498-3111(207) 498-1653 Get Directions Write a Review

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara Kathryn Collicott Speech Pathologist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARA KATHRYN COLLICOTT SPEECH PATHOLOGIST (NPI 1063625713) is an individual speech-language pathologist provider in Caribou, Maine, licensed in Maine (759) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063625713
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLARA KATHRYN COLLICOTTCredential: SPEECH PATHOLOGIST
Location Address163 VAN BUREN RDCaribou, ME 04736-3567
Mailing Address163 Van Buren RdCaribou, ME 04736-3567 · (207) 498-3111 · Fax (207) 498-1653
Fax(207) 498-1653
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateDecember 30, 2009
NPI 1063625713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in ME · 759
Definition
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 geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
163 VAN BUREN RD, Caribou, ME 04736

Other Identifiers 1

Medicaid268080099ME

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
163 VAN BUREN RD
CARIBOU, ME 04736
Nurse Practitioner (Adult Health)
163 VAN BUREN RD, - VA CLINIC
CARIBOU, ME 04736
Family Medicine
163 VAN BUREN RD, SUITE #6
CARIBOU, ME 04736
Midwife
163 VAN BUREN RD
CARIBOU, ME 04736
Occupational Therapist
163 VAN BUREN RD
CARIBOU, ME 04736
Family Medicine
163 VAN BUREN RD
CARIBOU, ME 04736
Pediatrics
163 VAN BUREN RD
CARIBOU, ME 04736
Occupational Therapist
163 VAN BUREN RD
CARIBOU, ME 04736

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Collicott's NPI number?

The NPI number for Lara Collicott is 1063625713. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Lara Collicott located?

Lara Collicott practices at 163 Van Buren Rd, Caribou, ME 04736. The listed phone number is (207) 498-3111.

What is Lara Collicott's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Lara Collicott was last updated on December 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.