Lakes Region Pediatric Speech Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1919 Issued in ME

Legal business name

LAKES REGION PEDIATRIC SPEECH SERVICES

Practice address

372 Hio Ridge Rd
Bridgton, ME 04009-3449

Phone

(401) 835-5368

NPI assigned

Sep 13, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Murphy, MS CCC-SLPNPI 1912026733

Title

Manager

Phone

(401) 835-5368

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Murphy, MS CCC-SLP

  • Speech-Language Pathologist
  • Oxford, ME
  • NPI 1912026733
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1407138613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 HIO RIDGE RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040093449",
            "telephone_number": "401-835-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 HIO RIDGE RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040093449",
            "telephone_number": "401-835-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES REGION PEDIATRIC SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-835-5368",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Klofas
• Brittainy S Knight, LCPCC
• Kristie Taylor-Zimmel LCSW LLC
• Lake Region Physical Therapy PA
• Lakes Region Imaging, P.a.
• Emma-Leigh Lamonde, DPT
• Landmark Human Resources, Inc
• Landmark Visions, Inc.
• Allison Dawn Langis
• Alexandre Lavoie, LCSW, CADC

• Speech-Language Pathologist in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.