Doctor Name: | RACHEL MARIE QUAM |
NPI Number: | 1073663357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCCSLP |
License Number: | 742 |
Business Practice Address: | 801 5th Ave Se Devils Lake, ND - 583013649 |
Business Phone Number: | 7016627690 |
Business Fax Number: | 7016627694 |
Mailing Address: | 801 5th Ave Se, DEVILS LAKE |
State: | ND |
Postal Code: | 583013649 |
Phone Number: | 7016627690 |
Fax Number: | 7016627694 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |