Provider Demographics
NPI:1285473579
Name:MACKAY, ALMA LUCIA (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:LUCIA
Last Name:MACKAY
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04473-4257
Mailing Address - Country:US
Mailing Address - Phone:207-404-6633
Mailing Address - Fax:
Practice Address - Street 1:1250 FOREST AVE STE 301
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1884
Practice Address - Country:US
Practice Address - Phone:207-797-8255
Practice Address - Fax:207-797-6660
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-24
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist