Lara Kathryn Collicott, SPEECH PATHOLOGIST
Lara Kathryn Collicott is a Speech-Language Pathologist provider (Speech-Language Pathologist) practicing in Caribou, ME, registered in the NPPES registry with NPI 1063625713 since 2007.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063625713 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Lara Kathryn Collicott |
| Credential | SPEECH PATHOLOGIST |
| Sex | Female |
| Practice address | 163 VAN BUREN RD, Caribou, ME, 04736 |
| Phone | 2074983111 |
| Fax | 2074981653 |
| Enumeration date | 2007-05-08 |
| Last updated in NPPES | 2009-12-30 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | Primary | 759 | ME |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268080099 | Medicaid | ME | — |
Copy-ready billing details
Provider: Lara Collicott, SPEECH PATHOLOGIST NPI: 1063625713 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: 163 VAN BUREN RD, Caribou, ME, 04736
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477548402 | Robert Bassett | Individual | Orthopaedic Surgery Physician | Caribou, ME |
| 1740270255 | Michael Porter | Individual | Clinical Pathology/Laboratory Medicine Physician | Caribou, ME |
| 1750372546 | Markyia Nichols | Individual | Obstetrics Physician | Caribou, ME |
| 1972586410 | Cheryl-Sue Olmstead | Individual | Women's Health Nurse Practitioner | Caribou, ME |
| 1629043336 | Maine Veterans' Home | Organization | Skilled Nursing Facility | Caribou, ME |
| 1538134242 | Maine Veterans' Homes | Organization | Assisted Living Facility | Caribou, ME |
| 1629046537 | Irene Djuanda | Individual | Internal Medicine Physician | Caribou, ME |
| 1952379562 | Kathryn Rutledge | Individual | Pediatrics Physician | Caribou, ME |
Verify this record
Cross-check NPI 1063625713 against the authoritative CMS record: view Lara Kathryn Collicott on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-12-30.