Justine Taylor Theisen (NPI# 1598056707, PAC ID# 5092000471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1598056707 |
| PAC ID by PECOS | 5092000471 |
| Professional Enrollment ID | I20161010000412 |
| Full Name | Justine Taylor Theisen |
| Address |
5811 Bamboo Dr Fort Pierce FL 34982-3758 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | SPEECH LANGUAGE PATHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5811 Bamboo Dr, Fort Pierce, FL 34982-3758 |
| Street Address |
5811 BAMBOO DR |
| City | FORT PIERCE |
| State | FL |
| Zip | 34982-3758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Shaw | Chiropractic | 1006 Virginia Ave, Fort Pierce, FL 34982-3522 | |
| Andrew David Lonabaugh | Podiatry | Paul N Gotkin and David A Gubernick Dpm Pa | 1090 Virginia Ave, Fort Pierce, FL 34982-3640 |
| Scott Joseph Cohen | Podiatry | Paul N Gotkin and David A Gubernick Dpm Pa | 1090 Virginia Ave, Fort Pierce, FL 34982-3640 |
| David Gubernick | Podiatry | Paul N Gotkin and David A Gubernick Dpm Pa | 1090 Virginia Ave, Fort Pierce, FL 34982-3640 |
| Paul Gotkin | Podiatry | Paul N Gotkin and David A Gubernick Dpm Pa | 1090 Virginia Ave, Fort Pierce, FL 34982-3640 |
| Pandora A. Scotto | Clinical Social Worker | Step By Step Counseling Services, LLC | 776 W Midway Rd, Fort Pierce, FL 34982-4203 |
| Debbie K Hoeffner | Clinical Social Worker | Step By Step Counseling Services, LLC | 776 W Midway Rd, Fort Pierce, FL 34982-4203 |
| Shannon L W Clark Leitenbauer | Optometry | Shannon L Clark Od, P.a | 2305 Oleander Blvd, Fort Pierce, FL 34982-5830 |
| Kelly J Waddell | Optometry | Shannon L Clark Od, P.a | 2305 Oleander Blvd, Fort Pierce, FL 34982-5830 |
| John Deiner | Chiropractic | Ocean Chiropractic and Health Center Inc | 805 Virginia Ave, Suite 11, Fort Pierce, FL 34982-5881 |
| Find all physicians in zip 34982 | |||
| City | FORT PIERCE |
| Zip Code | 34982 |
| Specialty | SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | FORT PIERCE + SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Justine Taylor Theisen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.