MRS. ALYSSE ZITTNAN THIBODEAU (NPI# 1437437753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437437753 |
| Entity Type | Individual |
| Full Name | MRS. ALYSSE ZITTNAN THIBODEAU |
| Credential | M.A. CCC-SLP |
| Practice Address |
3001 Harbor Ln. N. Suite 120 Plymouth MN 55447 |
| Practice Telephone | 7635513652 |
| Practice Fax Number | 7635511334 |
| Mailing Telephone | 7635513652 |
| Mailing Fax Number | 7635511334 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 452620 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
3001 HARBOR LN. N. SUITE 120 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570813 | Cheryl Ann Schall | Speech-Language Pathologist | 401 Sunset St, Plymouth, MI 48170-1010 | 2020-05-20 |
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1770070062 | Marcia Lynne Smith | Speech-Language Pathologist | 10155 Tennyson Dr, Plymouth, MI 48170-3647 | 2018-04-23 |
| 1477080125 | Julianne Trudeau | Speech-Language Pathologist | 130 Industrial Park Rd, Plymouth, MA 02360-7243 | 2017-05-12 |
| 1346786126 | Heather-ann Doherty | Speech-Language Pathologist | 17 Knoll Rd, Plymouth, MA 02360-5264 | 2017-01-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1912381138 | Alyssa Hencley | Speech-Language Pathologist | 15200 18th Ave N, Apt 12, Plymouth, MN 55447-2418 | 2015-07-17 |
| 1447634969 | Kimberly Grant | Speech-Language Pathologist | 9102 N Lilley Rd, #249, Plymouth, MI 48170-4644 | 2015-07-14 |
| 1588047401 | Sarah Gregory | Speech-Language Pathologist | 762 Blunk St, Plymouth, MI 48170-1164 | 2015-07-09 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.