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Active NPI 1437437753 Individual Practitioner Female Practitioner

Alysse Zittnan Thibodeau , MA CCC-SLP

Speech-Language Pathologist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Alysse Thibodeau, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomington, MN. Practice services are available at 1350 W 106TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1350 W 106th St

Bloomington, MN 554314126

Telephone 9526816522
Associated Practice Facility / Clinic
🏢 Bloomington Public Schools Facility NPI 1538251103

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
45 Specialists

Practicing in Bloomington, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 452620

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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Allyson Bergal

Psychologist - School

NPI 1326970708
Kali Anderson , LICSW

Social Worker - Clinical

NPI 1912307968

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 11, 2026

Registered at 1350 W 106TH ST, BLOOMINGTON, MN 554314126 (Tel: 9526816522)

📍
Updated Business Mailing Address May 11, 2026

Registered at 1350 W 106TH ST, BLOOMINGTON, MN 554314126 (Tel: 9526816522)

NPI Profile Active August 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2014

Registered at 3001 HARBOR LN. N., SUITE 120, PLYMOUTH, MN 55447 (Tel: 7635513652)

📍
Updated Business Mailing Address August 19, 2014

Registered at 3001 HARBOR LN. N., SUITE 120, PLYMOUTH, MN 55447 (Tel: 7635513652)

👤
Provider Name / Credentials Updated August 19, 2014

Recorded as ALYSSE THIBODEAU, M.A. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2014

Speech-Language Pathologist (License #452620 in MN)

🟢
Initial NPI Registration & Enumeration August 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437437753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2011
Last Update: May 11, 2026
Sole Proprietor: No

Mailing Address

1350 W 106th St

Bloomington, MN 554314126

Phone: 9526816522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.