Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas John List, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1366951063

Thomas John List, CCC-SLP is a Speech-Language Pathologist in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-1065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9682 (MN)

Record details

NPI number1366951063
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 25, 2017
Last updated in NPPESSeptember 25, 2017
Mailing address3517 42nd Ave S, Minneapolis, MN 55406-2812

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