Individual provider · Type 1 NPI

Elizabeth C. Tickle, MA CCC/SLP

Speech-Language Pathologist · Bloomington, MN

NPI number 1609967223 Active

Practice location

900 West 94th St
Bloomington, MN 55420

Call (952) 885-0418 Map

Fax (952) 885-0173

Mailing address

1322 Alton St #212
St. Paul, MN 55116

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X8021 (MN)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1609967223

Elizabeth C. Tickle, MA CCC/SLP's National Provider Identifier is 1609967223, issued on Sep 27, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Bloomington, MN. The record was last updated on Nov 19, 2010.