Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063625713 Individual Practitioner Female Practitioner

Lara Kathryn Collicott , SPEECH PATHOLOGIST

Speech-Language Pathologist • Caribou, ME

Professional Overview & Biography Verified Profile Summary

Lara Collicott, SPEECH PATHOLOGIST is a registered healthcare professional specializing in Speech-Language Pathologist in Caribou, ME. Practice services are available at 163 VAN BUREN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

163 Van Buren Rd

Caribou, ME 047363567

Telephone 2074983111
Fax 2074981653
Associated Practice Facility / Clinic
🏢 Maine Veterans' Home Facility NPI 1629043336

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Caribou, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Caribou, ME (1187 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ME 759

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
268080099 (ME)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Cammi King , PTA

Physical Therapy Assistant

NPI 1023986858

Physical Therapist Assistant

Ian Sotomayor , MS, OTR, L

Occupational Therapist

NPI 1083256150

Master of Science, Occupational Therapist Registered, L

NPI 1104844133

Doctor of Medicine (M.D.)

Joshua Turbide , MS, OTR, L

Occupational Therapist

NPI 1144862335

Master of Science, Occupational Therapist Registered, L

Dr. Beth Collamore , MD

Emergency Medicine

NPI 1184712572

Doctor of Medicine (M.D.)

Cameron Hartford , PTA

Physical Therapy Assistant

NPI 1215541479

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 30, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2009

Registered at 163 VAN BUREN RD, CARIBOU, ME 047363567 (Tel: 2074983111)

📍
Updated Business Mailing Address December 30, 2009

Registered at 163 VAN BUREN RD, CARIBOU, ME 047363567 (Tel: 2074983111)

👤
Provider Name / Credentials Updated December 30, 2009

Recorded as LARA COLLICOTT, SPEECH PATHOLOGIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2009

Speech-Language Pathologist (License #759 in ME)

🟢
Initial NPI Registration & Enumeration May 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Lara Collicott. Be the first to share your experience!

Sign in to leave a review for Lara Collicott

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063625713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: December 30, 2009
Sole Proprietor: No

Mailing Address

163 Van Buren Rd

Caribou, ME 047363567

Phone: 2074983111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.