Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyrsten Theodotou, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1528498714

Kyrsten Theodotou, MA, CCC-SLP is a Speech-Language Pathologist in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2013
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2450 Riverside Ave Bldg M146
Minneapolis, MN 55454-1450
Phone: (612) 273-8499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-3856

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8989 (MN)

Record details

NPI number1528498714
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 25, 2013
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

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