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MRS. JUSTINE TAYLOR THEISEN M.A. CCC-SLP
NPI 1598056707
Speech-Language Pathologist in Fort Pierce, FL

Active since April 21, 2011
5811 BAMBOO DRIVE, FORT PIERCE, FL 34982(772) 242-3187(772) 494-7262 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Justine Taylor Theisen M.a. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JUSTINE TAYLOR THEISEN M.A. CCC-SLP (NPI 1598056707) is an individual speech-language pathologist provider in Fort Pierce, Florida, licensed in Florida (SA10918) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1598056707
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JUSTINE TAYLOR THEISENCredential: M.A. CCC-SLP
Location Address5811 BAMBOO DRIVEFort Pierce, FL 34982-3758
Mailing Address5811 Bamboo DriveFort Pierce, FL 34982-3758 · (772) 242-3187 · Fax (772) 494-7262
Phone(772) 242-3187
Fax(772) 494-7262
Sole ProprietorNo
Enumeration DateApril 21, 2011
Last NPPES UpdateAugust 30, 2016
✔ NPI 1598056707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA10918
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.
5811 BAMBOO DRIVE, Fort Pierce, FL 34982
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Other Names 1

Former Name (1)Ms. Justine Lynn Taylor M.a. Ccc-clp

Other Identifiers 1

Medicaid011847300FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Theisen's NPI number?

The NPI number for Justine Theisen is 1598056707. It was assigned to this individual provider in the NPPES registry on April 21, 2011. The provider is also known as Ms. Justine Lynn Taylor M.A. Ccc-Clp.

Where is Justine Theisen located?

Justine Theisen practices at 5811 Bamboo Drive, Fort Pierce, FL 34982. The listed phone number is (772) 242-3187.

What is Justine Theisen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Justine Theisen was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.