Individual
LYDSELLE M BARRETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 49TH AVE NE, COLUMBIA HEIGHTS, MN 55421-1939
(763) 528-4571
Mailing address
2540 COUNTY ROAD F E, WHITE BEAR LAKE, MN 55110-3935
(651) 415-5500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
459020
MN
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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