Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114063088 Individual Practitioner Female Practitioner

Laurie Lemieux Mack , MA CCCSLP

Speech-Language Pathologist • Portland, ME

Professional Overview & Biography Verified Profile Summary

Laurie Mack, MA CCCSLP is a registered healthcare professional specializing in Speech-Language Pathologist in Portland, ME. Practice services are available at 75 W COMMERCIAL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

75 W Commercial St
Northeast Hearing And Speech, Suite 205

Portland, ME 041014797

Telephone 2078741065
Fax 2078741068
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Portland, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
170 Specialists

Practicing in Portland, 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 SP445

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
258910099 (ME)
Commercial Insurance / Payer ID Anthem Bcbs
002731 (ME)

Practice Associates & Co-Workers

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

34 Associated Practitioners
Desiree Hodgkins

Speech-Language Pathologist

NPI 1023930401
Jerusha Chicoine , MS, CCC-SLP

Speech-Language Pathologist

NPI 1093837338

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Lauren Panaccione , MS CCC-SLP

Speech-Language Pathologist

NPI 1114516275

MSCCCSLP

NPI 1114709128

Doctor of Audiology

Sara Lewis , MS CCCSLP

Speech-Language Pathologist

NPI 1164568044

MSCCCSLP

Dena Polko , MS SLP

Speech-Language Pathologist

NPI 1194923672

MSSLP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2009

Registered at 75 W COMMERCIAL ST, NORTHEAST HEARING AND SPEECH, SUITE 205, PORTLAND, ME 041014797 (Tel: 2078741065)

📍
Updated Business Mailing Address October 23, 2009

Registered at 75 W COMMERCIAL ST, NORTHEAST HEARING AND SPEECH, SUITE 205, PORTLAND, ME 041014797 (Tel: 2078741065)

👤
Provider Name / Credentials Updated October 23, 2009

Recorded as LAURIE MACK, MA CCCSLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2009

Speech-Language Pathologist (License #SP445 in ME)

🟢
Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114063088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: October 23, 2009
Sole Proprietor: No

Mailing Address

75 W Commercial St, Northeast Hearing And Speech, Suite 205

Portland, ME 041014797

Phone: 2078741065

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.