Individual provider · Type 1 NPI
Lacey Bourgoin, SLP-A
Speech-Language Assistant · Randolph, ME
NPI number
1528467792
Active
Practice location
17 School St
Randolph, ME 04346-5143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | BH001153 (PA) |
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
2 other providers at this address
About NPI 1528467792
Lacey Bourgoin, SLP-A's National Provider Identifier is 1528467792, issued on Aug 14, 2014. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Randolph, ME. The record was last updated on Aug 21, 2024.