Individual
MRS. CHRISTEN THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
6701 110TH ST, FOREST HILLS, NY 11375-2378
(718) 268-3137
Mailing address
33 W 14TH RD, BROAD CHANNEL, NY 11693-1138
(718) 268-3137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020315
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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