Alysse Zittnan Thibodeau M.A. CCC-SLP

NPI 1437437753 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1437437753
Gender Female
Enumeration Date 08/03/2011
Last Updated 08/19/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
3001 HARBOR LN. N.
SUITE 120
PLYMOUTH MN, 55447, US
Phone (763) 551-3652
Fax (763) 551-1334
Business Location
3001 HARBOR LN. N.
SUITE 120
PLYMOUTH MN, 55447, US
Phone (763) 551-3652
Fax (763) 551-1334
Toxanomy
Taxonomy Code 235Z00000X
License State Minnesota
License Number 452620
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According to our database, Mrs. Alysse Zittnan Thibodeau M.A. CCC-SLP NPI is 1437437753, taxonomy code is 235Z00000X and license number is 452620, license state is located at Minnesota. Alysse Zittnan Thibodeau M.A. CCC-SLP physically located at 3001 Harbor Ln. N., Plymouth MN, 55447. NPI Number Alysse Zittnan Thibodeau M.A. CCC-SLP has the Individual type.

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1437437753 NPI number is provided on an as is basis without warranty of any kind. 1437437753 is maintained by the National Plan & Provider Enumeration System. The contents of Alysse Zittnan Thibodeau M.A. CCC-SLP are for informational purposes only.