{"npi":"1508243312","type":"NPI-1","status":"active","name":{"display":"Laura Boutin Ccc-Slp","other":[],"first":"LAURA","last":"BOUTIN","credential":"CCC-SLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":false,"state":null,"license":null},{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"ME","license":"SP-2414"}]},"addresses":[{"purpose":"LOCATION","street_1":"29 MAURICE DR","city":"BRUNSWICK","state":"ME","postal_code":"040113270","country_code":"US","phone":"2077257495"},{"purpose":"MAILING","street_1":"533 E ELM ST","city":"YARMOUTH","state":"ME","postal_code":"040967513","country_code":"US"}],"license":{"state":"ME","number":"SP-2414"},"identifiers":[{"type_code":"01","label":"Other","value":"14130627","state":null,"issuer":"ASHA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20211201003125","type_code":"14-15","type_desc":"PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST","state":"ME","pac_id":"9830589019"}]},"enumeration_date":"2015-04-30","last_updated":"2020-04-24","_meta":{"source":"NPPES","snapshot_date":"2020-04-24","doc_url":"https://findmynpi.com/api"}}