Provider Demographics
NPI:1043811557
Name:HIRST, LAURIE ELAINE (SLP)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:ELAINE
Last Name:HIRST
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:ELAINE
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:1 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-5789
Mailing Address - Country:US
Mailing Address - Phone:207-337-3223
Mailing Address - Fax:
Practice Address - Street 1:526 POST RD
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-4021
Practice Address - Country:US
Practice Address - Phone:207-337-3223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP674235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist