Individual
ELLEN VAN TASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
943 9TH AVE SW, FOREST LAKE, MN 55025-1761
(651) 982-8357
Mailing address
943 9TH AVE SW, FOREST LAKE, MN 55025-1761
(651) 982-8357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9089
MN
Other
Enumeration date
06/28/2010
Last updated
02/26/2026
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