Mrs. Justine Taylor Theisen, MACCC-SLP
Mrs. Justine Taylor Theisen, MACCC-SLP is a Speech-Language Pathologist in Fort Pierce, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
Practice location Address checks out
5811 Bamboo DrFort Pierce, FL 34982-3758
Phone: (772) 242-3187
Fax: (772) 494-7262
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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 SA10918 (FL) |
|---|
Record details
| NPI number | 1598056707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC-SLP |
| Sole proprietor | No |
| NPI enumerated | April 21, 2011 |
| Last updated in NPPES | August 30, 2016 |
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