| 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 |
|---|---|
| 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. |
|---|---|
| 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 |
Karen Elaine Ciesielczyk, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1350 W 106th St, Bloomington, MN 55431 Phone: 952-681-6400 | |
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 | |
Cheyenne Rose Lee, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 612-400-6106 | |
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 |