MRS. Justine Taylor Theisen, M.A. CCC-SLP
NPI #1598056707 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1598056707
- Entity Type
- Individual
- Name
- MRS. Justine Taylor Theisen, M.A. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC-SLP
- Enumeration Date
- Apr 21, 2011
- Last Updated
- Aug 30, 2016
Practice Location
- Address
- 5811 BAMBOO DRIVE
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34982-3758
- Phone
- (772) 242-3187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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