Provider Demographics
NPI:1063189470
Name:ACADIA SPEECH THERAPY LLC
Entity type:Organization
Organization Name:ACADIA SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUCEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:207-951-5918
Mailing Address - Street 1:20 BERNARD RD
Mailing Address - Street 2:
Mailing Address - City:BERNARD
Mailing Address - State:ME
Mailing Address - Zip Code:04612-3007
Mailing Address - Country:US
Mailing Address - Phone:207-951-5918
Mailing Address - Fax:
Practice Address - Street 1:20 BERNARD RD
Practice Address - Street 2:
Practice Address - City:BERNARD
Practice Address - State:ME
Practice Address - Zip Code:04612-3007
Practice Address - Country:US
Practice Address - Phone:207-951-5918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech