Healthcare Provider Details

I. General information

NPI: 1801723762
Provider Name (Legal Business Name): KATIE LEMIEUX SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 LAKE AUBURN AVE
AUBURN ME
04210-6003
US

IV. Provider business mailing address

35 LAKE AUBURN AVE
AUBURN ME
04210-6003
US

V. Phone/Fax

Practice location:
  • Phone: 207-784-5467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: