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Active NPI 1528467792 Individual Practitioner Female Practitioner

Lacey Bourgoin , SLP-A

Specialist/Technologist - Speech-Language Assistant • Randolph, ME

Professional Overview & Biography Verified Profile Summary

Lacey Bourgoin, SLP-A is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Randolph, ME. Practice services are available at 17 SCHOOL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17 School St

Randolph, ME 043465143

Telephone 2075882699

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Randolph, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Randolph, ME (143 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

CMS Verified: 2024-08-21
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License PA BH001153

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners
Mallory Keene , MS, OTR, L

Occupational Therapist

NPI 1740874452

Master of Science, Occupational Therapist Registered, L

Leah August

Specialist

NPI 1891939369

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 21, 2024

Registered at 17 SCHOOL ST, RANDOLPH, ME 043465143 (Tel: 2075882699)

📍
Updated Business Mailing Address August 21, 2024

Registered at 17 SCHOOL ST, RANDOLPH, ME 043465143

👤
Provider Name / Credentials Updated August 21, 2024

Recorded as LACEY BOURGOIN, SLP-A

✅
NPI Profile Active August 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2014

Registered at 703 S ELMER AVE STE 115, SAYRE, PA 188402400 (Tel: 5708880051)

📍
Updated Business Mailing Address August 14, 2014

Registered at 703 S ELMER AVE STE 115, SAYRE, PA 188402400

👤
Provider Name / Credentials Updated August 14, 2014

Recorded as LACEY BOURGOIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2014

Counselor (License #BH001153 in PA)

🟢
Initial NPI Registration & Enumeration August 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1528467792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2014
Last Update: August 21, 2024
Sole Proprietor: No
Update or Correct Profile

Mailing Address

17 School St

Randolph, ME 043465143

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.