Olivia R Lust, MA CCC-SLP

NPI #1558841981 in Bangor, Maine

Provider Information

NPI Number
1558841981
Entity Type
Individual
Name
Olivia R Lust, MA CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MA CCC-SLP
Enumeration Date
Aug 15, 2018
Last Updated
Feb 15, 2024

Practice Location

Address
516 MOUNT HOPE AVE
City
Bangor
State
Maine
ZIP Code
04401-4215
Phone
(947) 613-1207

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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