Mrs Elizabeth C Tickle, MA CCC/SLP | |
900 West 94th St, Bloomington, MN 55420 | |
(952) 885-0418 | |
(952) 885-0173 |
Full Name | Mrs Elizabeth C Tickle |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 900 West 94th St, Bloomington, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609967223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 8021 (Minnesota) | Primary |
Provider Name | Family Achievement Center Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elizabeth C Tickle, MA CCC/SLP 1322 Alton St #212, St Paul, MN 55116 Ph: (651) 247-5966 | Mrs Elizabeth C Tickle, MA CCC/SLP 900 West 94th St, Bloomington, MN 55420 Ph: (952) 885-0418 |
Kaitlin Patricia Anderson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 612-861-1688 | |
Katie Rae Swanson, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 900 W 94th St, Bloomington, MN 55420 Phone: 952-885-0418 Fax: 952-885-0173 | |
Ms. Jennifer Mary Connelly, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 Phone: 952-881-0000 Fax: 952-881-2727 | |
Kimberly Butler Fryer, MA/ CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 612-767-7904 | |
Mrs. Brea Elizabeth Maday, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 900 West 94th Street, Bloomington, MN 55420 Phone: 952-885-0418 Fax: 952-885-0173 | |
Roberta Rae Gunther, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425 Phone: 952-853-0046 | |
Mr. Jeffrey John Evans, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Washburn Ave S, Bloomington, MN 55431 Phone: 952-888-7699 Fax: 952-888-7699 |