Individual
ELIZABETH LACEY THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1658
(812) 450-5000
Mailing address
300 MAIN ST STE 5A, EVANSVILLE, IN 47708-1489
(865) 368-2565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008411A
IN
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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