Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olivia R Lust, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1558841981

Olivia R Lust, MACCC-SLP is a Speech-Language Pathologist in Bangor, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

516 Mount Hope Ave
Bangor, ME 04401-4215
Phone: (947) 613-1207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP2940 (ME)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence ST2829 (ME)

Record details

NPI number1558841981
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedAugust 15, 2018
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address626 Main Rd N, Hampden, ME 04444-1802

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