LACEY BOURGOIN SLP-A
NPI 1528467792
Specialist/Technologist - Speech-Language Assistant in Randolph, ME

Active since August 14, 2014
17 SCHOOL ST, RANDOLPH, ME 04346(207) 588-2699 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lacey Bourgoin Slp-a NPPES

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

LACEY BOURGOIN SLP-A (NPI 1528467792) is an individual speech-language assistant in Randolph, Maine and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1528467792
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameLACEY BOURGOINCredential: SLP-A
Location Address17 SCHOOL STRandolph, ME 04346-5143
Mailing Address17 School StRandolph, ME 04346-5143
Sole ProprietorNo
Enumeration DateAugust 14, 2014
Last NPPES UpdateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
NPI 1528467792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License BH001153 (PA)
17 SCHOOL ST, Randolph, ME 04346

Other Providers at the Same Location NPPES 2

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

Occupational Therapist
17 SCHOOL ST
RANDOLPH, ME 04346
Specialist
17 SCHOOL ST
RANDOLPH, ME 04346

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 Lacey Bourgoin's NPI number?

The NPI number for Lacey Bourgoin is 1528467792. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Lacey Bourgoin located?

Lacey Bourgoin practices at 17 School St, Randolph, ME 04346. The listed phone number is (207) 588-2699.

What is Lacey Bourgoin's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Lacey Bourgoin was last updated on August 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.