Individual
BRIDGET M TIESLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
11099 BROOKVIEW RD, WOODBURY, MN 55129-9241
(651) 275-2500
Mailing address
11099 BROOKVIEW RD, WOODBURY, MN 55129-9241
(651) 275-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3086-154
WI
235Z00000X
Speech-Language Pathologist
Primary
475926
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005490249 01
HUMANA PPO
LA
Enumeration date
09/30/2008
Last updated
05/06/2026
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