Individual provider · Type 1 NPI
Justine Taylor Theisen, M.A. CCC-SLP
Speech-Language Pathologist · Fort Pierce, FL
Practice location
5811 Bamboo Drive
Fort Pierce, FL 34982-3758
Fax (772) 494-7262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SA10918 (FL) |
Speech-Language Pathologist: 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, resonan…
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About NPI 1598056707
Justine Taylor Theisen, M.A. CCC-SLP's National Provider Identifier is 1598056707, issued on Apr 21, 2011. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fort Pierce, FL. The record was last updated on Aug 30, 2016.