Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609967223 Individual Practitioner Female Practitioner

Elizabeth C Tickle , MA CCC, SLP

Speech-Language Pathologist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Elizabeth Tickle, MA CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomington, MN. Practice services are available at 900 WEST 94TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 West 94th St

Bloomington, MN 55420

Telephone 9528850418
Fax 9528850173
Associated Practice Facility / Clinic
🏢 The Therapy Place Facility NPI 1609934173

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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 8021

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

31 Associated Practitioners
Jennifer Voorhees , OTR L

Occupational Therapist

NPI 1033200654

Occupational Therapist Registered & Licensed

Lynn Kopfmann , OTRL

Occupational Therapist

NPI 1063503688

Occupational Therapist Registered & Licensed

Katie Swanson , CF-SLP

Speech-Language Pathologist

NPI 1093482150

Clinical Fellow in Speech-Language Pathology

Kathleen Phillippe , OTR L

Occupational Therapist

NPI 1093806606

Occupational Therapist Registered & Licensed

Nponda Nadjombe

Occupational Therapist

NPI 1154004109
Denise Peick , OTR L

Occupational Therapist - Pediatrics

NPI 1174614788

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2010

Registered at 900 WEST 94TH ST, BLOOMINGTON, MN 55420 (Tel: 9528850418)

📍
Updated Business Mailing Address November 19, 2010

Registered at 1322 ALTON ST #212, ST PAUL, MN 55116 (Tel: 6512475966)

👤
Provider Name / Credentials Updated November 19, 2010

Recorded as ELIZABETH TICKLE, MA CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2010

Speech-Language Pathologist (License #8021 in MN)

🟢
Initial NPI Registration & Enumeration September 27, 2006

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: 1609967223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: November 19, 2010
Sole Proprietor: No

Mailing Address

1322 Alton St #212

St Paul, MN 55116

Phone: 6512475966

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.