Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY BOURGOIN, SLP-A
ActiveLACEY BOURGOIN, SLP-A is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in RANDOLPH, Maine. NPI 1528467792 is currently active in the NPPES registry. Verify at CMS.
Swallowing Disorders Speech-Language Pathologist · RANDOLPH, ME
Registration Details
- NPI Number
- 1528467792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2014 (11.975667046745 yrs)
- Last Updated
- Aug 21, 2024
- License
-
BH001153 (PA)
Practice Information
- Address
-
17 SCHOOL STRANDOLPH, ME, 043465143Browse ME providers · Browse ZIP 04346
- Phone
- 2075882699
- Primary Specialty
-
Swallowing Disorders Speech-Language Pathologist
2355S0801X
- Additional Specialty
- Swallowing Disorders Speech-Language Pathologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.