Individual
LEAH NICHOLE TYGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCCA
Contact information
Practice address
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS AUDIOLOGY ST PAUL, ST PAUL, MN 55102
(651) 220-6880
Mailing address
2910 CENTRE POINTE DRIVE, 35 121A, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
7603
MN
237600000X
Audiologist-Hearing Aid Fitter
7603
MN
237700000X
Hearing Instrument Specialist
Primary
7603
MN
Other
Enumeration date
11/20/2006
Last updated
09/11/2025
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