person
Mrs. Justine Taylor Theisen, MACCC-SLP
Speech-Language Pathologist in Fort Pierce, Florida
NPI 1598056707

Justine Taylor Theisen is a Speech-Language Pathologist based in Fort Pierce, FL. Justine Taylor Theisen practices in Fort Pierce, FL and has the professional credentials of MACCC-SLP. The NPI Number for Justine Taylor Theisen is 1598056707 and holds a License No. SA10918 (Florida).

The current practice location address for Justine Taylor Theisen is 5811 Bamboo Drive, Fort Pierce, FL and can be reached out via phone at 772-242-3187 and via fax at 772-494-7262.

Location: 5811 Bamboo Drive, Fort Pierce, FL, 34982-3758
person
Provider Profile Details
NPI Number
1598056707
Provider Name
Justine Taylor Theisen
Credential
MACCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
5811 Bamboo Drive, Fort Pierce, FL, 34982-3758
Phone Number
772-242-3187
Fax Number
772-494-7262
Provider Enumeration Date
04/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011847300 05 FL
institution
Provider Business Practice Location Address Details
Address
5811 Bamboo Drive
City
State
Zip
34982-3758
Phone Number
772-242-3187
Fax Number
772-494-7262
person
Provider Business Mailing Address Details
Address
5811 Bamboo Drive
City
State
Zip
34982-3758
Phone Number
772-242-3187
Fax Number
772-494-7262
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
License No.
SA10918 (Florida)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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