Individual
MRS. DINA LYNN JELLEN-THEISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
14816 ENCLAVE LAKES DR, T2, DELRAY BEACH, FL 33484-8810
(561) 901-4709
Mailing address
14816 ENCLAVE LAKES DR, T2, DELRAY BEACH, FL 33484-8810
(561) 901-4709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8760
FL
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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