Individual
ALISA JOANNE TITZE GROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13810 SHEPHERDS PATH NW, PRIOR LAKE, MN 55379-2455
(952) 230-3300
Mailing address
4834 BULRUSH BLVD, SHAKOPEE, MN 55379-5828
(605) 484-6281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8665
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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