Lara Kathryn Collicott, SPEECH PATHOLOGIST
NPI 1063625713ActiveIndividual· Speech-Language Pathologist· Caribou, ME
Speech-Language Pathologist (SPEECH PATHOLOGIST) in Caribou, Maine, licensed in ME, with an NPI issued in May 2007. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1063625713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SPEECH PATHOLOGIST |
| Sole proprietor | No |
| NPI issued | May 8, 2007 |
| Last updated in NPPES | Dec 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 759 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (ME) |
|---|
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