Provider Demographics
NPI:1891010096
Name:TOUSIGNANT, HEIDI MARIE PAHL (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:MARIE PAHL
Last Name:TOUSIGNANT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MISS
Other - First Name:HEIDI
Other - Middle Name:MARIE
Other - Last Name:PAHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:825 HICKORY PL
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352-1858
Mailing Address - Country:US
Mailing Address - Phone:952-393-5183
Mailing Address - Fax:
Practice Address - Street 1:225 1ST ST E
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:MN
Practice Address - Zip Code:55352-1503
Practice Address - Country:US
Practice Address - Phone:612-389-8530
Practice Address - Fax:952-206-7730
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8426235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist